Provider Demographics
NPI:1639793664
Name:100 PERCENT CHIROPRACTIC SBERGER LLC
Entity Type:Organization
Organization Name:100 PERCENT CHIROPRACTIC SBERGER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMELSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-471-4312
Mailing Address - Street 1:789 COLSTON RD SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3362
Mailing Address - Country:US
Mailing Address - Phone:301-471-4312
Mailing Address - Fax:
Practice Address - Street 1:2250 MARIETTA BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318
Practice Address - Country:US
Practice Address - Phone:301-471-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty