Provider Demographics
NPI:1972655876
Name:PURJE, WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:PURJE
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 1:3705 TRINDLE RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4334
Mailing Address - Country:US
Mailing Address - Phone:717-730-6715
Mailing Address - Fax:717-730-8186
Practice Address - Street 1:3705 TRINDLE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4334
Practice Address - Country:US
Practice Address - Phone:717-730-6715
Practice Address - Fax:717-730-8186
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC4191L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA747502Medicare ID - Type UnspecifiedMEDICARE