Provider Demographics
NPI:1285015750
Name:SINES & SPINES, LLC
Entity Type:Organization
Organization Name:SINES & SPINES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DELBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-317-5242
Mailing Address - Street 1:110 EVANS MILL DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-1622
Mailing Address - Country:US
Mailing Address - Phone:724-317-5242
Mailing Address - Fax:678-550-9028
Practice Address - Street 1:605 HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-4662
Practice Address - Country:US
Practice Address - Phone:724-317-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO009278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty