Provider Demographics
NPI:1780170142
Name:SAUNDERS, ROCKY SHAYNE JR (DC)
Entity type:Individual
Prefix:DR
First Name:ROCKY
Middle Name:SHAYNE
Last Name:SAUNDERS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:269-303-5528
Mailing Address - Fax:
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:260-512-7078
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor