Provider Demographics
NPI:1497261986
Name:HORTON, WILLIAM CHASE (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHASE
Last Name:HORTON
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 1:1710 2ND AVE N APT 214
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-2043
Mailing Address - Country:US
Mailing Address - Phone:205-213-9720
Mailing Address - Fax:
Practice Address - Street 1:2531 ROCKY RIDGE RD STE 112
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-4446
Practice Address - Country:US
Practice Address - Phone:205-823-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2541111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition