Provider Demographics
NPI:1073080198
Name:SACRAMENTO SPINAL SPECIALISTS AN OLIVER CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:SACRAMENTO SPINAL SPECIALISTS AN OLIVER CHIROPRACTIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-488-5600
Mailing Address - Street 1:3000 ARDEN WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2000
Mailing Address - Country:US
Mailing Address - Phone:916-488-5560
Mailing Address - Fax:916-488-5597
Practice Address - Street 1:3000 ARDEN WAY STE. 1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2000
Practice Address - Country:US
Practice Address - Phone:916-488-5560
Practice Address - Fax:916-488-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty