Provider Demographics
NPI:1477607174
Name:AUSTIN, WILLIAM MILAND (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MILAND
Last Name:AUSTIN
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 1:3544 BERRYHILL DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4404
Mailing Address - Country:US
Mailing Address - Phone:540-556-3914
Mailing Address - Fax:540-776-3763
Practice Address - Street 1:2900 PETERS CREEK RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-3514
Practice Address - Country:US
Practice Address - Phone:540-904-7187
Practice Address - Fax:540-562-2101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor