Provider Demographics
NPI:1639227911
Name:WILLIAM J. WELCH, DC, INC.
Entity Type:Organization
Organization Name:WILLIAM J. WELCH, DC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-828-2865
Mailing Address - Street 1:6888 LINCOLN AVE
Mailing Address - Street 2:SUITE J2
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4107
Mailing Address - Country:US
Mailing Address - Phone:714-828-2865
Mailing Address - Fax:714-828-0165
Practice Address - Street 1:6888 LINCOLN AVE
Practice Address - Street 2:SUITE J2
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4107
Practice Address - Country:US
Practice Address - Phone:714-828-2865
Practice Address - Fax:714-828-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU64266Medicare UPIN
DC24662Medicare ID - Type Unspecified