Provider Demographics
NPI:1518121797
Name:NHON D LAM CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:NHON D LAM CHIROPRACTIC CORPORATION
Other - Org Name:ADVANTAGE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NHON
Authorized Official - Middle Name:DU
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-532-1130
Mailing Address - Street 1:2690 S WHITE RD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2076
Mailing Address - Country:US
Mailing Address - Phone:408-532-1130
Mailing Address - Fax:408-532-1142
Practice Address - Street 1:2690 S WHITE RD
Practice Address - Street 2:SUITE 40
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2076
Practice Address - Country:US
Practice Address - Phone:408-532-1130
Practice Address - Fax:408-532-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0290730Medicare PIN