Provider Demographics
NPI:1477764967
Name:BOOKER, WILLIAM EDWARD (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWARD
Last Name:BOOKER
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 1:8301 BELLA VISTA TER
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5504
Mailing Address - Country:US
Mailing Address - Phone:301-567-4114
Mailing Address - Fax:
Practice Address - Street 1:801 N QUINCY ST
Practice Address - Street 2:130
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1999
Practice Address - Country:US
Practice Address - Phone:703-527-5492
Practice Address - Fax:703-527-5624
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA610987OtherUNITEDHEALTHCARE
VA291395OtherANTHEM BCBS