Provider Demographics
NPI:1295939700
Name:WILLIAMS, HANK R (DC)
Entity type:Individual
Prefix:DR
First Name:HANK
Middle Name:R
Last Name:WILLIAMS
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 1:177 MYRTLE ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-1540
Mailing Address - Country:US
Mailing Address - Phone:949-376-7895
Mailing Address - Fax:949-376-8196
Practice Address - Street 1:177 MYRTLE ST STE A
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-1540
Practice Address - Country:US
Practice Address - Phone:949-376-7895
Practice Address - Fax:949-376-8196
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor