Provider Demographics
NPI:1568738672
Name:SENDROFF CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:SENDROFF CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SENDROFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-328-3305
Mailing Address - Street 1:2810 US HIGHWAY 70 SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8691
Mailing Address - Country:US
Mailing Address - Phone:828-328-3305
Mailing Address - Fax:828-328-9151
Practice Address - Street 1:2810 US HIGHWAY 70 SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8691
Practice Address - Country:US
Practice Address - Phone:828-328-3305
Practice Address - Fax:828-328-9151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty