Provider Demographics
NPI:1023266285
Name:WILLIAM C. EASTON D.C. P.C.
Entity type:Organization
Organization Name:WILLIAM C. EASTON D.C. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-360-2800
Mailing Address - Street 1:8185 COOLEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-2306
Mailing Address - Country:US
Mailing Address - Phone:248-360-2800
Mailing Address - Fax:
Practice Address - Street 1:8185 COOLEY LAKE RD
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-2306
Practice Address - Country:US
Practice Address - Phone:248-360-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWE005494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35171Medicare PIN
MIY56789Medicare UPIN