Healthcare Provider Details

I. General information

NPI: 1508823170
Provider Name (Legal Business Name): SIMPSON CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 MAIN ST
SABETHA KS
66534
US

IV. Provider business mailing address

914 MAIN ST
SABETHA KS
66534
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: MR. WILLIAM THOMAS SIMPSON
Title or Position: OWNER
Credential: DC
Phone: 785-284-2205