Provider Demographics
NPI:1407919616
Name:SAUNDERS, WILLIAM SAMUEL (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SAMUEL
Last Name:SAUNDERS
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 1:1015 SOUTH BROADWAY
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701
Mailing Address - Country:US
Mailing Address - Phone:701-838-2752
Mailing Address - Fax:701-838-2128
Practice Address - Street 1:1015 SOUTH BROADWAY
Practice Address - Street 2:SUITE 16
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701
Practice Address - Country:US
Practice Address - Phone:701-838-2752
Practice Address - Fax:701-838-2128
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4339OtherBCBS
ND15504Medicaid
NDT66813OtherWSI
T66813Medicare UPIN
NDT66813OtherWSI