Provider Demographics
NPI:1477900025
Name:KAMMER CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:KAMMER CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-335-2225
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:LILLIAN
Mailing Address - State:AL
Mailing Address - Zip Code:36549-0006
Mailing Address - Country:US
Mailing Address - Phone:251-962-4610
Mailing Address - Fax:
Practice Address - Street 1:12232 COUNTY RD. 99 S.
Practice Address - Street 2:
Practice Address - City:LILLIAN
Practice Address - State:AL
Practice Address - Zip Code:36549
Practice Address - Country:US
Practice Address - Phone:251-962-4610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2482261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center