Provider Demographics
NPI:1720597396
Name:SANDBERG, HALEY E (DC)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:E
Last Name:SANDBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:E
Other - Last Name:ROOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:800 NORTHVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-4601
Mailing Address - Country:US
Mailing Address - Phone:360-320-6322
Mailing Address - Fax:
Practice Address - Street 1:800 NORTHVIEW ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4601
Practice Address - Country:US
Practice Address - Phone:360-320-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHIR.CH.61634380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACHIR.CH.61634380OtherWASHINGTON CHIROPRACTIC LICENSE
COCHR.0007597OtherCOLORADO CHIROPRACTIC LICENSE