Provider Demographics
NPI:1336259563
Name:STRAUGHN, WILLIAM ARVIL III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARVIL
Last Name:STRAUGHN
Suffix:III
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 1:1005 DUNN RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8205
Mailing Address - Country:US
Mailing Address - Phone:314-839-6520
Mailing Address - Fax:314-839-0496
Practice Address - Street 1:1005 DUNN RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8205
Practice Address - Country:US
Practice Address - Phone:314-839-6520
Practice Address - Fax:314-839-0496
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO126038OtherBC/BS
MO126038OtherBC/BS