Provider Demographics
NPI:1013094499
Name:ERIC B LAMBERT, P.C.
Entity Type:Organization
Organization Name:ERIC B LAMBERT, P.C.
Other - Org Name:DISCOVER CHIROPRACTIC CENTER PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-956-1112
Mailing Address - Street 1:6740 CASCADE RD SE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6888
Mailing Address - Country:US
Mailing Address - Phone:616-956-1112
Mailing Address - Fax:616-956-6265
Practice Address - Street 1:6740 CASCADE RD SE
Practice Address - Street 2:SUITE 6
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6888
Practice Address - Country:US
Practice Address - Phone:616-956-1112
Practice Address - Fax:616-956-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7867019OtherAETNA
MI950D114800OtherBLUE CROSS BLUE SHIELD
MI11281469OtherCAQH
MIDF3289OtherPALMETTO GBA RAILROAD MEDICARE
MI7867019OtherAETNA
MI950D114800OtherBLUE CROSS BLUE SHIELD