Provider Demographics
NPI:1992907448
Name:SLIGH CLINIC OF CHIROPRACTIC INC
Entity type:Organization
Organization Name:SLIGH CLINIC OF CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SLIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-686-4149
Mailing Address - Street 1:PO BOX 873
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33802-0873
Mailing Address - Country:US
Mailing Address - Phone:863-686-4149
Mailing Address - Fax:863-683-4888
Practice Address - Street 1:425 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-5226
Practice Address - Country:US
Practice Address - Phone:863-686-4149
Practice Address - Fax:863-683-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty