Provider Demographics
NPI:1922036748
Name:TREICHEL, WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:TREICHEL
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:PO BOX 867
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32326-0867
Mailing Address - Country:US
Mailing Address - Phone:850-926-1227
Mailing Address - Fax:850-926-6550
Practice Address - Street 1:2887 CRAWFORDVILLE HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-2173
Practice Address - Country:US
Practice Address - Phone:850-926-1227
Practice Address - Fax:850-926-6550
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55162OtherBLUE CROSS BLUE SHIELD
FL55162Medicare ID - Type UnspecifiedPROVIDER NUMBER
FL55162OtherBLUE CROSS BLUE SHIELD