Sanders, Gary W
Sanders, Gary W is an sole proprietor health care provider with primary practice located at 4712 Boat Club Rd , Fort Worth TX 76135-2002. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sanders, Gary W can be contacted via phone (817) 237-2930.Contact Information
Primary practice address
4712 Boat Club Rd
Fort Worth TX 76135-2002
Phone: (817) 237-2930
Fax: (817) 237-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4758 | Texas |
Profile Details
| NPI number | 1770623449 |
|---|---|
| LBN Legal business name | Sanders, Gary W |
| Credentials | D.C., F.A.S.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 14th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770623449 | NPPES |
| Texas | Other | TXB129427 | MEDICARE PTAN |
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