Provider Demographics
NPI:1881217677
Name:SAUNDERS CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:SAUNDERS CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:SHAYNE
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:269-512-7077
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-0006
Mailing Address - Country:US
Mailing Address - Phone:269-512-7077
Mailing Address - Fax:269-512-7078
Practice Address - Street 1:231 TROWBRIDGE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1386
Practice Address - Country:US
Practice Address - Phone:269-512-7077
Practice Address - Fax:269-512-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty