Provider Demographics
NPI:1467723197
Name:JT WILLIAMS ENTERPRISES INC
Entity Type:Organization
Organization Name:JT WILLIAMS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:435-592-3284
Mailing Address - Street 1:1180 SAGE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3069
Mailing Address - Country:US
Mailing Address - Phone:435-867-6354
Mailing Address - Fax:435-867-1472
Practice Address - Street 1:1180 SAGE DR
Practice Address - Street 2:SUITE E
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3069
Practice Address - Country:US
Practice Address - Phone:435-867-6354
Practice Address - Fax:435-867-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8185027-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty