Provider Demographics
NPI:1922688399
Name:WILLIAM S. HALLUMS, DC LLC
Entity Type:Organization
Organization Name:WILLIAM S. HALLUMS, DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALLUMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-536-3622
Mailing Address - Street 1:4 WEST DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-0003
Mailing Address - Country:US
Mailing Address - Phone:636-536-3622
Mailing Address - Fax:636-536-2039
Practice Address - Street 1:4 WEST DR STE 100
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-0003
Practice Address - Country:US
Practice Address - Phone:636-536-3622
Practice Address - Fax:636-536-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty