Provider Demographics
NPI:1760478622
Name:WILLIAMS, JOHN ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALAN
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 1:5499 NE 6TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-7628
Mailing Address - Country:US
Mailing Address - Phone:352-351-9696
Mailing Address - Fax:352-369-9696
Practice Address - Street 1:1551 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4637
Practice Address - Country:US
Practice Address - Phone:352-351-9696
Practice Address - Fax:352-369-9696
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53870OtherBC/BS
FLP00112973OtherRAILROAD MEDICARE PIN
FL9853230OtherCIGNA
FLDB5446OtherRAILROAD GROUP
FL9853230OtherCIGNA
FLU86942Medicare UPIN
FL53870OtherBC/BS