MEDICARE: FORT SUTTER CHIROPRACTIC

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	261QH0100X	Health Service Clinic/Center	DC0146160	CA

General Provider Information

NPI Number	:	1942519731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT SUTTER CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1221 ALHAMBRA BLVD STE 105
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5237
Country	:	US
Telephone Number	:	916-448-7600
Fax Number	:	916-451-0756

Provider Business Practice Location Address
First Line	:	1221 ALHAMBRA BLVD STE 105
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5237
Country	:	US
Telephone Number	:	916-448-7600
Fax Number	:	916-451-0756

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	MR. WILLIAM W GUENTHER
Credential	:	DC
Telephone Number	:	916-448-7600

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	09/28/2010

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Directions to “FORT SUTTER CHIROPRACTIC ” Practice Location

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