Provider Demographics
NPI:1376723775
Name:WILLIAMS, SHELDON DAMIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:DAMIAN
Last Name:WILLIAMS
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:THE VILLAGE MALL BAY 12
Mailing Address - Street 2:RURAL ROUTE 1 BOX 10556
Mailing Address - City:KINGSHILL
Mailing Address - State:U.S. VIRGIN ISLANDS
Mailing Address - Zip Code:00850-9604
Mailing Address - Country:UM
Mailing Address - Phone:340-773-4300
Mailing Address - Fax:340-773-4300
Practice Address - Street 1:THE VILLAGE MALL BAY 12, RR1
Practice Address - Street 2:RR1 BOX 10556
Practice Address - City:KINGSHILL,
Practice Address - State:VIRGIN ISLANDS
Practice Address - Zip Code:00850-9604
Practice Address - Country:UM
Practice Address - Phone:340-773-4300
Practice Address - Fax:340-773-4300
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI50111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor