Provider Demographics
NPI:1477881167
Name:JUSTIN R SANDS D.C. PLLC
Entity Type:Organization
Organization Name:JUSTIN R SANDS D.C. PLLC
Other - Org Name:SANDS CLINIC OF CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-963-3999
Mailing Address - Street 1:407 W BRIDGE RD
Mailing Address - Street 2:STE 8
Mailing Address - City:POLK CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50226
Mailing Address - Country:US
Mailing Address - Phone:515-984-6484
Mailing Address - Fax:515-984-9657
Practice Address - Street 1:407 W BRIDGE RD
Practice Address - Street 2:STE 8
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226
Practice Address - Country:US
Practice Address - Phone:515-984-6484
Practice Address - Fax:515-984-9657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty