Provider Demographics
NPI:1568730299
Name:SLATER, WILLIAM MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MATTHEW
Last Name:SLATER
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 1:111 READING RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1633
Mailing Address - Country:US
Mailing Address - Phone:513-398-2020
Mailing Address - Fax:513-398-9067
Practice Address - Street 1:111 READING RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1633
Practice Address - Country:US
Practice Address - Phone:513-398-2020
Practice Address - Fax:513-398-9067
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor