Provider Demographics
NPI:1174647317
Name:WILLIAM C CHANEY DC PA
Entity Type:Organization
Organization Name:WILLIAM C CHANEY DC PA
Other - Org Name:CHANEY CHIROPRACTIC CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC DIBCN
Authorized Official - Phone:352-686-6385
Mailing Address - Street 1:4056 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2398
Mailing Address - Country:US
Mailing Address - Phone:352-686-6385
Mailing Address - Fax:352-686-6982
Practice Address - Street 1:4056 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606
Practice Address - Country:US
Practice Address - Phone:352-686-6385
Practice Address - Fax:352-686-6982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty