Provider Demographics
NPI:1861405490
Name:HAMMETT CLINIC OF CHIROPRACTIC
Entity type:Organization
Organization Name:HAMMETT CLINIC OF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:CARPENTER
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:828-452-1879
Mailing Address - Street 1:1908 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-6790
Mailing Address - Country:US
Mailing Address - Phone:828-452-1879
Mailing Address - Fax:828-452-0811
Practice Address - Street 1:1908 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-6790
Practice Address - Country:US
Practice Address - Phone:828-452-1879
Practice Address - Fax:828-452-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08853OtherBLUE CRPSS/BLUE SHIELD NC
NC1506Medicare PIN