Provider Demographics
NPI:1710083118
Name:FERRO, WILLIAM MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:FERRO
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 1:509 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1414
Mailing Address - Country:US
Mailing Address - Phone:919-342-6053
Mailing Address - Fax:919-321-4320
Practice Address - Street 1:509 W NORTH ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1414
Practice Address - Country:US
Practice Address - Phone:919-342-6053
Practice Address - Fax:919-321-4320
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085VAOtherBLUE CROSS
NCU82880Medicare UPIN
NC085VAOtherBLUE CROSS