Provider Demographics
NPI:1942382312
Name:SAYLER, NATHAN T (DC)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:T
Last Name:SAYLER
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 1:323 CENTRAL AVENUE NORTH
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072
Mailing Address - Country:US
Mailing Address - Phone:701-845-0709
Mailing Address - Fax:701-845-5988
Practice Address - Street 1:323 CENTRAL AVENUE NORTH
Practice Address - Street 2:SUITE 202
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072
Practice Address - Country:US
Practice Address - Phone:701-845-0709
Practice Address - Fax:701-845-5988
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4286OtherBLUE CROSS BLUE SHIELD
ND16321Medicaid
N4286Medicare ID - Type Unspecified
U13714Medicare UPIN