Provider Demographics
NPI:1285680975
Name:LABONTE, WILLIAM T (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:LABONTE
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 1:4 PEARL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-4268
Mailing Address - Country:US
Mailing Address - Phone:386-677-2522
Mailing Address - Fax:386-677-9005
Practice Address - Street 1:4 PEARL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-4268
Practice Address - Country:US
Practice Address - Phone:386-677-2522
Practice Address - Fax:386-677-9005
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL365852OtherBLUE CROSS
FL365852OtherBLUE CROSS