Provider Demographics
NPI:1568619914
Name:DR. WILLIAM D. GIFT, PC
Entity Type:Organization
Organization Name:DR. WILLIAM D. GIFT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GIFT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABFP, DABCC
Authorized Official - Phone:301-739-4878
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1445PT111N00000X, 111NI0013X
PADC003877L111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2013908OtherAETNA US HEALTHCARE
MD320534OtherMAMSI
PAGI601533OtherBLUE SHIELD OF PA
MD350050504OtherMEDICARE RAILROAD
DC3607OtherBLUE SHIELD OF DC
MD4400181OtherUNITED
MD459700100Medicaid
MD77KCWDOtherBLUE SHIELD OF MD
MD287OtherMEDICARE STATE OF MARYLAND
MD459700100Medicaid