BRYAN J SANDER (NPI# 1780782599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780782599 |
| Entity Type | Individual |
| Full Name | BRYAN J SANDER |
| Credential | DC |
| Practice Address |
715 West Main Street Bakke Chiropractic Clinic Sc Sun Prairie WI 53590 |
| Practice Telephone | 6088377600 |
| Practice Fax Number | 6088370633 |
| Mailing Telephone | 6088377600 |
| Mailing Fax Number | 6088370633 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3587012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38911100 | 05 |
| Street Address |
715 WEST MAIN STREET BAKKE CHIROPRACTIC CLINIC SC |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023116837 | Bruce Carl Nordhagen | Chiropractor | 715 West Main Street, Bakke Chiropractic Clinic Sc, Sun Prairie, WI 53590 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1942748280 | Prairie Chiropractic, LLC | Chiropractor | 5 N Bird St, Sun Prairie, WI 53590-2878 | 2017-02-07 |
| 1487047684 | Scott Nigbor | Chiropractor | 2808 Prairie Lakes Dr, Suite 105, Sun Prairie, WI 53590-8508 | 2015-03-11 |
| 1124429832 | David Shook | Chiropractor | 1777 W Main St, Sun Prairie, WI 53590-3100 | 2014-09-12 |
| 1922421668 | Back and Neck Pain Relief Center | Chiropractor | 1223 W Main St, Number 292, Sun Prairie, WI 53590-1942 | 2014-01-31 |
| 1154752954 | Noble Choice Chiropractic LLC | Chiropractor | 2410 Montana Ave, Sun Prairie, WI 53590-1617 | 2013-12-03 |
| 1568600096 | Friesen Chiropractic Clinic, Inc. | Chiropractor | 513a W Main St, Sun Prairie, WI 53590-2833 | 2009-01-21 |
| 1457545998 | Meister Chiropractic Sc | Chiropractor | 804 Liberty Blvd, Suite 208, Sun Prairie, WI 53590-4500 | 2007-08-28 |
| 1386770253 | Sandra M Ager | Chiropractor | 948 W Main St, Sun Prairie, WI 53590-2039 | 2007-02-26 |
| 1376692996 | Mark Allen Meister | Chiropractor | 804 Liberty Blvd Ste 208, Sun Prairie, WI 53590-4643 | 2007-01-10 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on BRYAN J SANDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.