Provider Demographics
NPI:1023308111
Name:ESSEL, WILLIAM (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:ESSEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1777
Mailing Address - Country:US
Mailing Address - Phone:703-477-5064
Mailing Address - Fax:
Practice Address - Street 1:5852 JEFFERSON DAVIS HIGHWAY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-9441
Practice Address - Country:US
Practice Address - Phone:703-477-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist