Provider Demographics
NPI:1962154633
Name:SOVAR CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SOVAR CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-684-4101
Mailing Address - Street 1:2816 VEACH RD STE 103
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-6257
Mailing Address - Country:US
Mailing Address - Phone:270-684-4101
Mailing Address - Fax:812-649-4927
Practice Address - Street 1:2816 VEACH RD STE 103
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-6257
Practice Address - Country:US
Practice Address - Phone:270-684-4101
Practice Address - Fax:812-649-4927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty