Provider Demographics
NPI:1750576153
Name:SACHSE CHIROPRACTIC CENTER, INC.
Entity type:Organization
Organization Name:SACHSE CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KIESER
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:972-469-4200
Mailing Address - Street 1:5634 HIGHWAY 78
Mailing Address - Street 2:STE. 120
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3773
Mailing Address - Country:US
Mailing Address - Phone:972-496-4200
Mailing Address - Fax:972-496-4400
Practice Address - Street 1:5634 HIGHWAY 78
Practice Address - Street 2:STE. 120
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3773
Practice Address - Country:US
Practice Address - Phone:972-496-4200
Practice Address - Fax:972-496-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-09
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0011GHOtherBCBS GROUP
TX0011GHOtherBCBS GROUP
TXU95136Medicare UPIN