Provider Demographics
NPI:1003221268
Name:BEVIS, WILLIAM LEWIS (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEWIS
Last Name:BEVIS
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 1:1950 THOMASVILLE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5293
Mailing Address - Country:US
Mailing Address - Phone:850-536-6789
Mailing Address - Fax:850-536-6793
Practice Address - Street 1:1950 THOMASVILLE RD
Practice Address - Street 2:SUITE E
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-5293
Practice Address - Country:US
Practice Address - Phone:850-536-6789
Practice Address - Fax:850-536-6793
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor