Provider Demographics
NPI:1356714455
Name:SAPP FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SAPP FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MPH
Authorized Official - Phone:614-296-8102
Mailing Address - Street 1:14661 MOCK RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:44401-8746
Mailing Address - Country:US
Mailing Address - Phone:614-296-8102
Mailing Address - Fax:
Practice Address - Street 1:40 PARK DR
Practice Address - Street 2:
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-1850
Practice Address - Country:US
Practice Address - Phone:330-426-9453
Practice Address - Fax:330-426-6815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty