Provider Demographics
NPI:1225097736
Name:SONDER CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:SONDER CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:SONDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-326-8283
Mailing Address - Street 1:423 NE 4TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2968
Mailing Address - Country:US
Mailing Address - Phone:218-326-8283
Mailing Address - Fax:
Practice Address - Street 1:423 NE 4TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2968
Practice Address - Country:US
Practice Address - Phone:218-326-8283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty