Provider Demographics
NPI:1225158553
Name:BROOKS, WILLIAM SAUNDERS (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SAUNDERS
Last Name:BROOKS
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:PO BOX 921
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-8917
Mailing Address - Country:US
Mailing Address - Phone:410-820-7705
Mailing Address - Fax:410-820-7733
Practice Address - Street 1:130 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2950
Practice Address - Country:US
Practice Address - Phone:410-820-7705
Practice Address - Fax:410-820-7733
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDX61109Medicare ID - Type Unspecified