Provider Demographics
NPI:1861589087
Name:SANDERS CHIROPRACTIC CORP.
Entity type:Organization
Organization Name:SANDERS CHIROPRACTIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:DEL CARLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-252-1861
Mailing Address - Street 1:20432 SILVERADO AVE
Mailing Address - Street 2:SUITE6
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4454
Mailing Address - Country:US
Mailing Address - Phone:408-252-1861
Mailing Address - Fax:408-255-1927
Practice Address - Street 1:20432 SILVERADO AVE
Practice Address - Street 2:SUITE6
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4454
Practice Address - Country:US
Practice Address - Phone:408-252-1861
Practice Address - Fax:408-255-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31944ZOtherBLUE SHIELD