Individual
DR. CARRIE THERESA SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
635 N 9TH ST, SUITE A, KALAMAZOO, MI 49009-5896
(269) 372-2900
(269) 372-0900
Mailing address
635 N 9TH ST, SUITE A, KALAMAZOO, MI 49009-5896
(269) 372-2900
(269) 372-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CS008469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11287788
CAQH
—
01
—
1295747301
NPI (TYPE 1)
MI
01
—
1770534976
GROUP NPI
MI
01
—
4430181
OTHER
MI
01
—
950C912820
OTHER
MI
01
—
N43520003
MEDICARE PTAN
—
Enumeration date
08/13/2006
Last updated
07/08/2014
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