MEDICARE: AC SANDERS ENTERPRISES LLC

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	4411	OH

General Provider Information

NPI Number	:	1831512979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AC SANDERS ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	732 HARLEY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1808
Country	:	US
Telephone Number	:	614-569-4324
Fax Number	:	614-360-3420

Provider Business Practice Location Address
First Line	:	3518 RIVERSIDE DR
Second Line	:	SUITE 104
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-1735
Country	:	US
Telephone Number	:	614-569-4324
Fax Number	:	614-360-3420

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANDREW SANDERS
Credential	:	DC
Telephone Number	:	614-569-4324

Provider Enumeration Date	:	01/25/2014
Last Update Date	:	02/12/2014

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Directions to “AC SANDERS ENTERPRISES LLC ” Practice Location

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