MEDICARE: SYDNEY LEATHERMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16806	TX
2	111N00000X	Chiropractor	2301401681	MI

General Provider Information

NPI Number	:	1467381947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY LEATHERMAN D.C.

Provider Business Mailing Address
First Line	:	5159 E PARADISE RD
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-8333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 COLUMBIA AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5456
Country	:	US
Telephone Number	:	269-979-2566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	06/05/2026

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Directions to “ SYDNEY LEATHERMAN D.C.” Practice Location

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