Provider Demographics
NPI:1871175893
Name:CHIROPRACTIC AND BEYOND
Entity type:Organization
Organization Name:CHIROPRACTIC AND BEYOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-322-4984
Mailing Address - Street 1:6477 CHERRY MEADOW DR SE STE 3
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7351
Mailing Address - Country:US
Mailing Address - Phone:616-322-4984
Mailing Address - Fax:
Practice Address - Street 1:6477 CHERRY MEADOW DR SE STE 3
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-7351
Practice Address - Country:US
Practice Address - Phone:616-322-4984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty