Healthcare Provider Details

I. General information

NPI: 1871694950
Provider Name (Legal Business Name): FRED A SAYERS JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 CLAY DRIVE
POUNDING MILL VA
24637
US

IV. Provider business mailing address

PO BOX 63 226 CLAY DRIVE
POUNDING MILL VA
24637
US

V. Phone/Fax

Practice location:
  • Phone: 276-596-9551
  • Fax: 276-596-9552
Mailing address:
  • Phone: 276-596-9551
  • Fax: 276-596-9552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1885
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: