Provider Demographics
NPI:1568518744
Name:KARL E AAMOT, D.C. A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:KARL E AAMOT, D.C. A CHIROPRACTIC CORPORATION
Other - Org Name:AAMOT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, SECRETARY, TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:AAMOT
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:909-798-4444
Mailing Address - Street 1:233 CAJON ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5257
Mailing Address - Country:US
Mailing Address - Phone:909-798-4444
Mailing Address - Fax:
Practice Address - Street 1:233 CAJON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5257
Practice Address - Country:US
Practice Address - Phone:909-798-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT06431Medicare UPIN
CADC0173170Medicare ID - Type UnspecifiedMEDICARE PROVIDER #