Samuel B Sanders, D.C.
Individual provider Active NPI Chiropractor · Willard, MO
NPI 1023157658 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1023157658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2006037924 (MO)
- Practice address
- 500 S Miller Rd
Willard, MO 65781-9753 - Phone
- (417) 742-1233
- Fax
- (417) 742-1246
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanders Group Inc. | Chiropractor | Past |
Accepting new patients |
| Dr Kisha Hamilton LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2006037924 | MO | Yes |
Addresses
Primary practice location
500 S Miller Rd
Willard, MO 65781-9753
Mailing address
PO Box 25
Willard, MO 65781-0025
Phone (417) 742-1233
Other providers in Willard, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.