Provider Demographics
NPI:1720748858
Name:SAJE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SAJE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:RYKINALD
Authorized Official - Last Name:MARSEILLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-730-9850
Mailing Address - Street 1:PO BOX 783234
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34778-3234
Mailing Address - Country:US
Mailing Address - Phone:407-730-9850
Mailing Address - Fax:
Practice Address - Street 1:7311 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6746
Practice Address - Country:US
Practice Address - Phone:407-730-9850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty