Provider Demographics
NPI:1659440121
Name:WILLIAMS, SHEILA Q (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:Q
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-1102
Mailing Address - Country:US
Mailing Address - Phone:505-525-2222
Mailing Address - Fax:505-525-0220
Practice Address - Street 1:1200 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1102
Practice Address - Country:US
Practice Address - Phone:505-525-2222
Practice Address - Fax:505-525-0220
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM1168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor