Provider Demographics
NPI:1083637045
Name:SAUNDERS, DOROTHY CAROL (DC)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:CAROL
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:DOROTHY
Other - Middle Name:CAROL
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:261 E BROADWAY ST
Mailing Address - Street 2:P.O. BOX 962
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-9317
Mailing Address - Country:US
Mailing Address - Phone:763-295-0303
Mailing Address - Fax:763-295-0303
Practice Address - Street 1:261 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-9317
Practice Address - Country:US
Practice Address - Phone:763-295-0303
Practice Address - Fax:763-295-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN27G60TEOtherBCBS PROVIDER #