Provider Demographics
NPI:1831271287
Name:SAYLER, LARRY EDWIN (DC)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:EDWIN
Last Name:SAYLER
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 1:323 NORTH CENTRAL AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072
Mailing Address - Country:US
Mailing Address - Phone:701-845-0709
Mailing Address - Fax:701-845-5988
Practice Address - Street 1:323 NORTH CENTRAL AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072
Practice Address - Country:US
Practice Address - Phone:701-845-0709
Practice Address - Fax:701-845-5988
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND15787OtherBLUE CROSS BLUE SHIELD
ND10626Medicaid
U70928Medicare UPIN
ND10626Medicaid