Provider Demographics
NPI:1871537761
Name:SANDLER, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15400 LINCOLN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-3358
Mailing Address - Country:US
Mailing Address - Phone:248-968-2829
Mailing Address - Fax:248-968-4423
Practice Address - Street 1:15400 LINCOLN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-3358
Practice Address - Country:US
Practice Address - Phone:248-968-2829
Practice Address - Fax:248-968-4423
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF32556OtherBCBS #
MI4823132Medicaid
MI4823132Medicaid
V01335Medicare UPIN