Provider Demographics
NPI:1326294315
Name:SARVER CHIROPRACTIC CLINIC, P.C.
Entity Type:Organization
Organization Name:SARVER CHIROPRACTIC CLINIC, P.C.
Other - Org Name:CHIROPRACTIC HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:SARVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-932-2939
Mailing Address - Street 1:909 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-2659
Mailing Address - Country:US
Mailing Address - Phone:641-932-2939
Mailing Address - Fax:641-932-2106
Practice Address - Street 1:909 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-2659
Practice Address - Country:US
Practice Address - Phone:641-932-2939
Practice Address - Fax:641-932-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05776111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0111682Medicaid
IAU46030OtherUPIN
IA16203Medicare UPIN