Provider Demographics
NPI:1417345281
Name:SAUNDERS COUNTY CHIROPRACTIC & ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:SAUNDERS COUNTY CHIROPRACTIC & ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-957-3815
Mailing Address - Street 1:260 W 6TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1678
Mailing Address - Country:US
Mailing Address - Phone:402-957-3815
Mailing Address - Fax:
Practice Address - Street 1:260 W 6TH ST STE 1
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1678
Practice Address - Country:US
Practice Address - Phone:402-957-3815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty