Provider Demographics
NPI:1508994096
Name:SABOL CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SABOL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DODIE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:ABELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-628-6582
Mailing Address - Street 1:PO BOX 20910
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-0910
Mailing Address - Country:US
Mailing Address - Phone:661-837-2225
Mailing Address - Fax:661-837-2233
Practice Address - Street 1:6647 MING AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3491
Practice Address - Country:US
Practice Address - Phone:661-837-2225
Practice Address - Fax:661-837-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25418111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC25418OtherLICENSE
CA1508881038OtherPERSONNAL NPI
CAU81406Medicare UPIN
CADC0254180Medicare ID - Type Unspecified