Provider Demographics
NPI:1215504220
Name:SAHLFELD FAMILY CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:SAHLFELD FAMILY CHIROPRACTIC CLINIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHLFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-534-9328
Mailing Address - Street 1:113 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-3234
Mailing Address - Country:US
Mailing Address - Phone:785-534-9328
Mailing Address - Fax:
Practice Address - Street 1:113 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-3234
Practice Address - Country:US
Practice Address - Phone:785-534-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty