Healthcare Provider Details

I. General information

NPI: 1386645414
Provider Name (Legal Business Name): WILLIAM T. SIMPSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 MAIN ST
SABETHA KS
66534-1829
US

IV. Provider business mailing address

914 MAIN ST
SABETHA KS
66534-1829
US

V. Phone/Fax

Practice location:
  • Phone: 785-284-2205
  • Fax: 785-284-2024
Mailing address:
  • Phone: 785-284-2205
  • Fax: 785-284-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberC3379
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: