Provider Demographics
NPI:1023024361
Name:BOLLINGER, WILLIAM JAMES III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:BOLLINGER
Suffix:III
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 1:151 N SUNRISE AVE STE 1014
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2930
Mailing Address - Country:US
Mailing Address - Phone:916-772-7722
Mailing Address - Fax:916-772-7782
Practice Address - Street 1:151 N SUNRISE AVE STE 1014
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2930
Practice Address - Country:US
Practice Address - Phone:916-772-7722
Practice Address - Fax:916-772-7782
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor