Provider Demographics
NPI:1922136456
Name:TAYLOR, WILLIAM H (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:TAYLOR
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 1:29 LEWIS BAY RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5207
Mailing Address - Country:US
Mailing Address - Phone:508-775-1935
Mailing Address - Fax:508-775-1402
Practice Address - Street 1:29 LEWIS BAY RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5207
Practice Address - Country:US
Practice Address - Phone:508-775-1935
Practice Address - Fax:508-775-1402
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2839111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45649Medicare ID - Type Unspecified