Healthcare Provider Details

I. General information

NPI: 1548387509
Provider Name (Legal Business Name): FRANK BARTLETT SANDERS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1552 RAILROAD ST
TOWN CREEK AL
35672-3983
US

IV. Provider business mailing address

PO BOX 221
TOWN CREEK AL
35672-0221
US

V. Phone/Fax

Practice location:
  • Phone: 256-685-3545
  • Fax:
Mailing address:
  • Phone: 256-685-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1410
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: