Provider Demographics
NPI:1275168288
Name:CHIROSAGGE, PLLC
Entity Type:Organization
Organization Name:CHIROSAGGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR AND MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LMBT
Authorized Official - Phone:704-654-0950
Mailing Address - Street 1:1441 ASHCRAFT LN APT J
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2466
Mailing Address - Country:US
Mailing Address - Phone:704-654-0950
Mailing Address - Fax:
Practice Address - Street 1:5200 PARK RD STE 102-B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3650
Practice Address - Country:US
Practice Address - Phone:704-654-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty