Provider Demographics
NPI:1205015740
Name:PAMER CHIROPRACTIC OF GAHANNA, LLC
Entity Type:Organization
Organization Name:PAMER CHIROPRACTIC OF GAHANNA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-529-2703
Mailing Address - Street 1:1165 N HAMILTON RD
Mailing Address - Street 2:SUITE 01250
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3452
Mailing Address - Country:US
Mailing Address - Phone:614-337-1178
Mailing Address - Fax:614-337-1423
Practice Address - Street 1:1165 N HAMILTON RD
Practice Address - Street 2:SUITE 01250
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3452
Practice Address - Country:US
Practice Address - Phone:614-337-1178
Practice Address - Fax:614-337-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty