Provider Demographics
NPI:1467570804
Name:TATSUNO, WILLIAM STUART (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STUART
Last Name:TATSUNO
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 1:1002 WIBLE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-4137
Mailing Address - Country:US
Mailing Address - Phone:661-397-1909
Mailing Address - Fax:
Practice Address - Street 1:1002 WIBLE RD
Practice Address - Street 2:SUITE H
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-4137
Practice Address - Country:US
Practice Address - Phone:661-397-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor