Provider Demographics
NPI:1841215183
Name:HAMBY, CAROL SCHROEDER (DC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:SCHROEDER
Last Name:HAMBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 MADISON AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3159
Mailing Address - Country:US
Mailing Address - Phone:916-966-4330
Mailing Address - Fax:916-966-1839
Practice Address - Street 1:6716 MADISON AVE STE A1
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3159
Practice Address - Country:US
Practice Address - Phone:916-966-4330
Practice Address - Fax:916-966-1839
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT06477Medicare UPIN
CAT06477Medicare UPIN