Provider Demographics
NPI:1285633115
Name:BELKNAP, WILLIAM W II (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:BELKNAP
Suffix:II
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 1:954 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-1357
Mailing Address - Country:US
Mailing Address - Phone:330-343-9401
Mailing Address - Fax:
Practice Address - Street 1:238 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2626
Practice Address - Country:US
Practice Address - Phone:330-364-4427
Practice Address - Fax:330-364-4428
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT46348Medicare UPIN