Provider Demographics
NPI:1164578209
Name:SAUER, JAMES EDMUND (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDMUND
Last Name:SAUER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E FOREST ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-1212
Mailing Address - Country:US
Mailing Address - Phone:419-586-9633
Mailing Address - Fax:419-584-1516
Practice Address - Street 1:125 E FOREST ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2220
Practice Address - Country:US
Practice Address - Phone:419-586-9633
Practice Address - Fax:419-584-1516
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341943829-00OtherWORKERS' COMP
OH2098117Medicaid
OH341943829OtherFEDERAL TAX ID
OHSA0891802Medicare ID - Type Unspecified
OHU85974Medicare UPIN