Healthcare Provider Details

I. General information

NPI: 1851474514
Provider Name (Legal Business Name): SIDNEY AARON SAWYER JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 DANVILLE ROAD
DECATUR AL
35603
US

IV. Provider business mailing address

4366 HUCKABY BRIDGE ROAD
FALKVILLE AL
35622
US

V. Phone/Fax

Practice location:
  • Phone: 256-351-2110
  • Fax:
Mailing address:
  • Phone: 256-221-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1965
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: