Provider Demographics
NPI:1417013111
Name:GREENWOOD, WILLIAM HUNTER (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HUNTER
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1768
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-1768
Mailing Address - Country:US
Mailing Address - Phone:417-725-6655
Mailing Address - Fax:417-725-7840
Practice Address - Street 1:1361 WEST MOUNT VERNON STREET
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7003
Practice Address - Country:US
Practice Address - Phone:417-725-6655
Practice Address - Fax:417-725-7840
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2572111N00000X
WA801175F00000X
MO2002017055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO870439699OtherFEDERAL TAX ID #