Provider Demographics
NPI:1174635445
Name:HOLLIDAY, WILLIAM CHAPMAN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHAPMAN
Last Name:HOLLIDAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 130TH AVE NE
Mailing Address - Street 2:SUITE A-211
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1755
Mailing Address - Country:US
Mailing Address - Phone:425-869-1110
Mailing Address - Fax:425-869-9578
Practice Address - Street 1:2300 130TH AVE NE
Practice Address - Street 2:SUITE A-211
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1755
Practice Address - Country:US
Practice Address - Phone:425-869-1110
Practice Address - Fax:425-869-9578
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000148452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA04744Medicare UPIN
WA000102308Medicare ID - Type Unspecified