MEDICARE: SONGER FAMILY ENTERPRISES, INC

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	2301006626	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1386642221	OTHER	MI	OTHER NPI

General Provider Information

NPI Number	:	1518342369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONGER FAMILY ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	4354 WILDER RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2208
Country	:	US
Telephone Number	:	989-686-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	4354 WILDER RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2208
Country	:	US
Telephone Number	:	989-686-1911
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID M. SONGER
Credential	:	DC
Telephone Number	:	989-686-1911

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	07/22/2015

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