Provider Demographics
NPI:1538676853
Name:ROBERS, WHITNEY MARIE SUNDHEIM (DC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MARIE SUNDHEIM
Last Name:ROBERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:MARIE
Other - Last Name:SUNDHEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1555 43RD ST S
Mailing Address - Street 2:STE 107
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3314
Mailing Address - Country:US
Mailing Address - Phone:206-723-2820
Mailing Address - Fax:206-722-3664
Practice Address - Street 1:1555 43RD ST S STE 107
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3314
Practice Address - Country:US
Practice Address - Phone:701-720-7224
Practice Address - Fax:701-356-6701
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor