Provider Demographics
NPI:1497738710
Name:PIOTROWSKI, WILLIAM GILBERT (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GILBERT
Last Name:PIOTROWSKI
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 1:1362 NORTHWAY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3859
Mailing Address - Country:US
Mailing Address - Phone:570-321-6600
Mailing Address - Fax:
Practice Address - Street 1:1362 NORTHWAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3859
Practice Address - Country:US
Practice Address - Phone:570-321-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005816L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015231790003Medicaid
PA350042692OtherRAILROAD MC
PA800863OtherFIRST PRIORITY
U58517Medicare UPIN
PA0015231790003Medicaid