Provider Demographics
NPI:1922495498
Name:SATHER CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:SATHER CHIROPRACTIC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:MYRON
Authorized Official - Last Name:SATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-275-2343
Mailing Address - Street 1:11386 N LINDEN RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-8501
Mailing Address - Country:US
Mailing Address - Phone:810-686-3123
Mailing Address - Fax:810-686-3124
Practice Address - Street 1:11386 N LINDEN RD
Practice Address - Street 2:SUITE A1
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-8501
Practice Address - Country:US
Practice Address - Phone:810-686-3123
Practice Address - Fax:810-686-3124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty