Provider Demographics
NPI:1710119920
Name:SINCLAIR CLINIC OF CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SINCLAIR CLINIC OF CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:205-752-1300
Mailing Address - Street 1:1418 GREENSBORO AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2843
Mailing Address - Country:US
Mailing Address - Phone:205-752-1300
Mailing Address - Fax:205-345-5396
Practice Address - Street 1:1418 GREENSBORO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2843
Practice Address - Country:US
Practice Address - Phone:205-752-1300
Practice Address - Fax:205-345-5396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center