RAYMOND DEXTER SANDERS D.C. NPI 1679535512

NPI Information

NPI: 1679535512
Provider Name: RAYMOND DEXTER SANDERS, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
635 FULTON ST
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 842-9411
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Raymond Dexter Sanders, D.C. 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. Raymond Dexter Sanders, D.C. NPI is 1679535512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 enumeration date for this NPI number is 4/5/2006 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
1	111N00000X	Chiropractor		RS008001	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	X24786	MEDICARE UPIN	MICHIGAN
2	U90447	MEDICARE UPIN	MICHIGAN

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

NPI Synchronization or Removal

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