Provider Demographics
NPI:1346837689
Name:SADEN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SADEN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:SADEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-932-1778
Mailing Address - Street 1:107 BAY BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-7428
Mailing Address - Country:US
Mailing Address - Phone:850-932-1778
Mailing Address - Fax:850-934-4770
Practice Address - Street 1:107 BAY BRIDGE DR
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7428
Practice Address - Country:US
Practice Address - Phone:850-932-1778
Practice Address - Fax:850-934-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty