Provider Demographics
NPI:1386645414
Name:SIMPSON, WILLIAM T (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:SIMPSON
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 1:914 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534-1829
Mailing Address - Country:US
Mailing Address - Phone:785-284-2205
Mailing Address - Fax:785-284-2024
Practice Address - Street 1:914 MAIN ST
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-1829
Practice Address - Country:US
Practice Address - Phone:785-284-2205
Practice Address - Fax:785-284-2024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST43948Medicare UPIN
KS060906Medicare ID - Type UnspecifiedMEDICARE