Provider Demographics
NPI:1114929825
Name:VIED, WILLIAM A (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:VIED
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 1:365 LILEDOUN RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-2450
Mailing Address - Country:US
Mailing Address - Phone:828-632-0044
Mailing Address - Fax:828-632-0567
Practice Address - Street 1:365 LILEDOUN RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2450
Practice Address - Country:US
Practice Address - Phone:828-632-0044
Practice Address - Fax:828-632-0567
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085R3Medicaid
NC2457309Medicare ID - Type Unspecified