Provider Demographics
NPI:1407600109
Name:WILLIAMS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:WILLIAMS CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-774-8068
Mailing Address - Street 1:200 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2044
Mailing Address - Country:US
Mailing Address - Phone:724-774-8068
Mailing Address - Fax:724-774-8166
Practice Address - Street 1:200 9TH ST
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2044
Practice Address - Country:US
Practice Address - Phone:724-774-8068
Practice Address - Fax:724-774-8166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty