Provider Demographics
NPI:1497927966
Name:SAR ENTERPRISES, PA
Entity Type:Organization
Organization Name:SAR ENTERPRISES, PA
Other - Org Name:RISLEY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:RISLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-214-2780
Mailing Address - Street 1:4920 BOB BILLINGS PKWY
Mailing Address - Street 2:STE. B
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3855
Mailing Address - Country:US
Mailing Address - Phone:785-856-6030
Mailing Address - Fax:785-856-6031
Practice Address - Street 1:4920 BOB BILLINGS PKWY
Practice Address - Street 2:STE. B
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3855
Practice Address - Country:US
Practice Address - Phone:785-856-6030
Practice Address - Fax:785-856-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST01792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty