Provider Demographics
NPI:1588680599
Name:WILLIAMS, DONALD ALBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALBERT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1097 E MAIN ST
Mailing Address - Street 2:G
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5718
Mailing Address - Country:US
Mailing Address - Phone:530-271-5921
Mailing Address - Fax:530-271-5926
Practice Address - Street 1:1097 E MAIN ST
Practice Address - Street 2:G
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5718
Practice Address - Country:US
Practice Address - Phone:530-271-5921
Practice Address - Fax:530-271-5926
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor