Provider Demographics
NPI:1235386103
Name:SALYER CHIROPRACTIC CLINIC, INC
Entity Type:Organization
Organization Name:SALYER CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-445-2205
Mailing Address - Street 1:200 EAST BLACKJACK STREET
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:TEXAS
Mailing Address - Zip Code:76446
Mailing Address - Country:UM
Mailing Address - Phone:254-445-2205
Mailing Address - Fax:254-445-2259
Practice Address - Street 1:200 E BLACKJACK ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:TX
Practice Address - Zip Code:76446-2304
Practice Address - Country:US
Practice Address - Phone:254-445-2205
Practice Address - Fax:254-445-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty