Provider Demographics
NPI:1871916536
Name:SALZINGER CHIROPRACTIC GROUP
Entity type:Organization
Organization Name:SALZINGER CHIROPRACTIC GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SALZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-231-1872
Mailing Address - Street 1:405 PHARR RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3200
Mailing Address - Country:US
Mailing Address - Phone:404-231-1872
Mailing Address - Fax:
Practice Address - Street 1:405 PHARR RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3200
Practice Address - Country:US
Practice Address - Phone:404-231-1872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCCPPMedicare PIN
GAU58863Medicare UPIN