Provider Demographics
NPI:1417922899
Name:PREASE, WILLIAM ERNEST (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ERNEST
Last Name:PREASE
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:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-0664
Mailing Address - Country:US
Mailing Address - Phone:910-654-3581
Mailing Address - Fax:910-654-4999
Practice Address - Street 1:5754 CHADBOURN HWY
Practice Address - Street 2:
Practice Address - City:CHADBOURN
Practice Address - State:NC
Practice Address - Zip Code:28431-8434
Practice Address - Country:US
Practice Address - Phone:910-654-3581
Practice Address - Fax:910-654-4999
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-0844WMedicaid
NC0844WOtherBC/BS
NCU81475Medicare UPIN
NC89-0844WMedicaid