Provider Demographics
NPI:1376553537
Name:HADLEY, E WILLIAM JR (DC)
Entity Type:Individual
Prefix:DR
First Name:E
Middle Name:WILLIAM
Last Name:HADLEY
Suffix:JR
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 1:1415 1/2 E POLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:PA
Mailing Address - Zip Code:16112
Mailing Address - Country:US
Mailing Address - Phone:724-667-2225
Mailing Address - Fax:724-667-1112
Practice Address - Street 1:1415 1/2 E POLAND AVE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:PA
Practice Address - Zip Code:16112
Practice Address - Country:US
Practice Address - Phone:724-667-2225
Practice Address - Fax:724-667-1112
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006986L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA739195OtherHIGHMARK
PA01683904Medicaid
PA739195OtherBCBS
739195OtherKEYSTONE
PA739195OtherBCBS
PA01683904Medicaid