Provider Demographics
NPI:1629296983
Name:AAMOT, KARL ELVIN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:ELVIN
Last Name:AAMOT
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:KARL
Other - Middle Name:ELVIN
Other - Last Name:AAMOT
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:895 BLAIR AVENUE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087
Mailing Address - Country:US
Mailing Address - Phone:408-739-1037
Mailing Address - Fax:
Practice Address - Street 1:895 BLAIR AVENUE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087
Practice Address - Country:US
Practice Address - Phone:408-739-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT06431Medicare UPIN
CADC0173170Medicare ID - Type Unspecified