Healthcare Provider Details

I. General information

NPI: 1235386103
Provider Name (Legal Business Name): SALYER CHIROPRACTIC CLINIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E BLACKJACK ST
DUBLIN TX
76446-2304
US

IV. Provider business mailing address

200 EAST BLACKJACK STREET
DUBLIN TEXAS
76446
UM

V. Phone/Fax

Practice location:
  • Phone: 254-445-2205
  • Fax: 254-445-2259
Mailing address:
  • Phone: 254-445-2205
  • Fax: 254-445-2259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6008
License Number StateTX

VIII. Authorized Official

Name: DR. EDDIE L SALYER
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 254-445-2205