Provider Demographics
NPI:1023778313
Name:SASSER CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SASSER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-951-7709
Mailing Address - Street 1:8845 GLEN ROSE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-2313
Mailing Address - Country:US
Mailing Address - Phone:336-951-7709
Mailing Address - Fax:
Practice Address - Street 1:8641 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-5109
Practice Address - Country:US
Practice Address - Phone:314-962-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty