Provider Demographics
NPI:1700664398
Name:CAIM CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CAIM CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ACN, FMACP
Authorized Official - Phone:812-252-9280
Mailing Address - Street 1:9901 BRODIE LN
Mailing Address - Street 2:SUITE 160 PMB909
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748
Mailing Address - Country:US
Mailing Address - Phone:512-200-2077
Mailing Address - Fax:
Practice Address - Street 1:5501 N LAMAR BLVD
Practice Address - Street 2:C111
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-7874
Practice Address - Country:US
Practice Address - Phone:512-200-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service