Provider Demographics
NPI:1508054057
Name:WILLIAM SAUNDERS D C P C
Entity Type:Organization
Organization Name:WILLIAM SAUNDERS D C P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:D C P C
Authorized Official - Phone:605-624-8822
Mailing Address - Street 1:717 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3312
Mailing Address - Country:US
Mailing Address - Phone:605-624-8822
Mailing Address - Fax:605-624-8621
Practice Address - Street 1:717 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-3312
Practice Address - Country:US
Practice Address - Phone:605-624-8822
Practice Address - Fax:605-624-8621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD895111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD105356OtherHEALTHPARTNERS
SD604350OtherACN
SDC895OtherDAKOTACARE
SD22398OtherSANFORD HEALTH
SD9226770OtherDAKOTACARE GROUP
SD7603364Medicaid
SD9226770OtherCASD
SD4997915OtherBLUE CROSS BLUE SHIELD
SDDE 4226OtherRAILROAD MEDICARE
SD=========OtherSANFORD HEALTH GROUP
SDC895OtherDAKOTACARE
SDS100172Medicare PIN