Provider Demographics
NPI:1922028679
Name:BULL, WILLIAM EDWARD III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:BULL
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:117 MASON AVE STE F
Mailing Address - Street 2:
Mailing Address - City:CAPE CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:23310-3135
Mailing Address - Country:US
Mailing Address - Phone:757-331-1190
Mailing Address - Fax:757-331-1260
Practice Address - Street 1:117 MASON AVE STE F
Practice Address - Street 2:
Practice Address - City:CAPE CHARLES
Practice Address - State:VA
Practice Address - Zip Code:23310-3135
Practice Address - Country:US
Practice Address - Phone:757-331-1190
Practice Address - Fax:757-331-1260
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor