Provider Demographics
NPI:1508162884
Name:JOHN R. MCWILLIAMS, D.C., P.C.
Entity Type:Organization
Organization Name:JOHN R. MCWILLIAMS, D.C., P.C.
Other - Org Name:PURCELLVILLE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCWILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:540-338-1663
Mailing Address - Street 1:PO BOX 2292
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20134-2292
Mailing Address - Country:US
Mailing Address - Phone:540-228-1663
Mailing Address - Fax:540-338-1668
Practice Address - Street 1:101 S MAPLE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3473
Practice Address - Country:US
Practice Address - Phone:540-338-1663
Practice Address - Fax:540-338-1668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty