Provider Demographics
NPI:1528313566
Name:SAIKIA, SAMUEL MARK (DC)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:MARK
Last Name:SAIKIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2842
Mailing Address - Country:US
Mailing Address - Phone:717-578-4967
Mailing Address - Fax:
Practice Address - Street 1:2021 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2842
Practice Address - Country:US
Practice Address - Phone:717-578-4967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor