Provider Demographics
NPI:1851943641
Name:WILLIAMS, JAMES MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
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 1:455 ARMCO RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7370
Mailing Address - Country:US
Mailing Address - Phone:606-326-1132
Mailing Address - Fax:606-326-0114
Practice Address - Street 1:455 ARMCO RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7370
Practice Address - Country:US
Practice Address - Phone:606-326-1132
Practice Address - Fax:606-326-0114
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY289222111N00000X
VA0104-557540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty