Provider Demographics
NPI:1538493879
Name:ACME CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ACME CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-440-8700
Mailing Address - Street 1:616 ALHAMBRA BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3850
Mailing Address - Country:US
Mailing Address - Phone:916-440-8700
Mailing Address - Fax:916-440-8703
Practice Address - Street 1:616 ALHAMBRA BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3850
Practice Address - Country:US
Practice Address - Phone:916-440-8700
Practice Address - Fax:916-440-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC025997261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1912020470OtherMEDICARE NPI