Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 14086 | CA |
NPI | 1053457689 |
---|---|
Provider Name | Dr. Steven C Hammer |
First Address | Citrus Heights, CA 95621-6501 |
Second Address | Citrus Heights, CA 95621-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014860 | (02) | CA |