Provider Demographics
NPI:1508122730
Name:SAWYER CHIROPRACTIC CENTER,LLC
Entity Type:Organization
Organization Name:SAWYER CHIROPRACTIC CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TRS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-773-9912
Mailing Address - Street 1:551 LIMESTONE ST SW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2942
Mailing Address - Country:US
Mailing Address - Phone:256-773-9912
Mailing Address - Fax:256-773-7560
Practice Address - Street 1:551 LIMESTONE ST SW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2942
Practice Address - Country:US
Practice Address - Phone:256-773-9912
Practice Address - Fax:256-773-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68570Medicare UPIN