Healthcare Provider Details

I. General information

NPI: 1326294315
Provider Name (Legal Business Name): SARVER CHIROPRACTIC CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 08/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S CLINTON ST
ALBIA IA
52531-2659
US

IV. Provider business mailing address

909 S CLINTON ST
ALBIA IA
52531-2659
US

V. Phone/Fax

Practice location:
  • Phone: 641-932-2939
  • Fax: 641-932-2106
Mailing address:
  • Phone: 641-932-2939
  • Fax: 641-932-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberA05776
License Number StateIA

VIII. Authorized Official

Name: DR. MATTHEW DALE SARVER
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 641-932-2939