Organization
SACK CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL SACK DC (PRESIDENT)
(605) 644-1111
Entity
Organization
Contact information
Practice address
144 N MAIN ST, SPEARFISH, SD 57783-2754
(605) 644-1111
(605) 644-1234
Mailing address
144 N MAIN ST, SPEARFISH, SD 57783-2754
(605) 644-1111
(605) 644-1234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
588
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S7826
MEDICARE PROVIDER NUMBER
SD
Enumeration date
11/19/2007
Last updated
09/17/2014
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