Provider Demographics
NPI:1417123613
Name:SIBLEY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:SIBLEY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAYLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-754-2794
Mailing Address - Street 1:345 9TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:SIBLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51249-1828
Mailing Address - Country:US
Mailing Address - Phone:712-754-2794
Mailing Address - Fax:712-754-4667
Practice Address - Street 1:345 9TH ST STE A
Practice Address - Street 2:
Practice Address - City:SIBLEY
Practice Address - State:IA
Practice Address - Zip Code:51249-1828
Practice Address - Country:US
Practice Address - Phone:712-754-2794
Practice Address - Fax:712-754-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1168690Medicaid
IA10772OtherBLUE CROSS BLUE SHIELD
IA10772Medicare PIN