Provider Demographics
NPI:1952606451
Name:HAMILTON CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:HAMILTON CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMEIDO-HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-344-6808
Mailing Address - Street 1:1406 DICKERSON STREET
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055
Mailing Address - Country:US
Mailing Address - Phone:740-344-6808
Mailing Address - Fax:740-344-7947
Practice Address - Street 1:1406 DICKERSON ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1844
Practice Address - Country:US
Practice Address - Phone:740-344-6808
Practice Address - Fax:740-344-7947
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMILTON CHIROPRACTIC CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-14
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT45264Medicare UPIN
OH4085691Medicare PIN