Provider Demographics
NPI:1659744050
Name:WILLIAMS, RYAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:J
Last Name:WILLIAMS
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 1:3913 BERRY LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3140
Mailing Address - Country:US
Mailing Address - Phone:614-971-3007
Mailing Address - Fax:614-541-9838
Practice Address - Street 1:3913 BERRY LEAF LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3140
Practice Address - Country:US
Practice Address - Phone:614-971-3007
Practice Address - Fax:614-541-9838
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4580111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor