Provider Demographics
NPI:1275062630
Name:WILLIAMS CREEK HEALTH CENTER
Entity Type:Organization
Organization Name:WILLIAMS CREEK HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREME
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:765-827-6699
Mailing Address - Street 1:685 S COUNTY ROAD 350 W
Mailing Address - Street 2:
Mailing Address - City:CONNERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47331-8730
Mailing Address - Country:US
Mailing Address - Phone:765-827-6699
Mailing Address - Fax:
Practice Address - Street 1:685 S CO RD 350 W
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331
Practice Address - Country:US
Practice Address - Phone:765-827-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty