Provider Demographics
NPI:1417977224
Name:ARMSTRONG, WILLIAM RAY JR (DC CCSP DIBCN)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RAY
Last Name:ARMSTRONG
Suffix:JR
Gender:M
Credentials:DC CCSP DIBCN
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 388
Mailing Address - Street 2:517 ATKINSON STREET
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-0388
Mailing Address - Country:US
Mailing Address - Phone:910-276-0008
Mailing Address - Fax:910-276-2993
Practice Address - Street 1:517 ATKINSON ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3715
Practice Address - Country:US
Practice Address - Phone:910-276-0008
Practice Address - Fax:910-276-2993
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC244445Medicare PIN