Provider Demographics
NPI:1134112899
Name:TUREK, WILLIAM T (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:TUREK
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 1:222 SUMMER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-2364
Mailing Address - Country:US
Mailing Address - Phone:802-748-3166
Mailing Address - Fax:802-748-3435
Practice Address - Street 1:222 SUMMER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2364
Practice Address - Country:US
Practice Address - Phone:802-748-3166
Practice Address - Fax:802-748-3435
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-29
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT06-0000678111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT8781Medicare ID - Type Unspecified
T87660Medicare UPIN