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SANDERS CHIROPRACTIC INC. NPI 1215169214


NPI Information

NPI: 1215169214
Provider Name: SANDERS CHIROPRACTIC INC.

Doing Business As: GREAT LAKES HEALTH & WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
635 FULTON ST
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 842-9411
Get Directions

SANDERS CHIROPRACTIC INC. is a chiropractor in Grand Haven, MI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SANDERS CHIROPRACTIC INC. NPI is 1215169214. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Great Lakes Health & Wellness.

The provider's business location address is:

635 FULTON ST
GRAND HAVEN, MI
ZIP 49417-237
Phone: (616) 842-9411
Fax: (616) 842-9058

The provider's authorized official is Raymond Dexter Sanders .
The authorized official title is Owner/doctor and has the following contact phone number (616) 842-9411.

The enumeration date for this NPI number is 8/10/2009 and was last updated on 8/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor23010018001MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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