Provider Demographics
NPI:1942354980
Name:SADLON, STEVEN THOMAS (DC AND LAC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:THOMAS
Last Name:SADLON
Suffix:
Gender:M
Credentials:DC AND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 PANORAMA TRL
Mailing Address - Street 2:BUILDING ONE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2404
Mailing Address - Country:US
Mailing Address - Phone:585-586-7630
Mailing Address - Fax:585-586-7695
Practice Address - Street 1:625 PANORAMA TRL
Practice Address - Street 2:BUILDING ONE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2404
Practice Address - Country:US
Practice Address - Phone:585-586-7630
Practice Address - Fax:585-586-7695
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004818-1111N00000X
NY003401-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7969278OtherAETNA PROVIDER NUMBER
NYRA5333Medicare PIN
NYT32929Medicare UPIN