Provider Demographics
NPI:1558422758
Name:GIFT, WILLIAM DAVID (DC, DABFP, DABCC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVID
Last Name:GIFT
Suffix:
Gender:M
Credentials:DC, DABFP, DABCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 OPAL CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5940
Mailing Address - Country:US
Mailing Address - Phone:301-739-4878
Mailing Address - Fax:301-739-4989
Practice Address - Street 1:1120 OPAL CT
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5940
Practice Address - Country:US
Practice Address - Phone:301-739-4878
Practice Address - Fax:301-739-4989
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1445PT111N00000X
PADC003877L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDDQ0754OtherMEDICARE RAILROAD - GROUP PTAN
MDM287WDOtherBSMD
MD4400181OtherUNIT
MD320534OtherMAMSI
PAGI601533OtherBSPA
MD2013908OtherAETNA
MD459700100Medicaid
MDT202OtherBSDC
MD2013908OtherAETNA
MDT92753Medicare UPIN