Provider Demographics
NPI:1649280298
Name:SEERY, WILLIAM P (DC BS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:SEERY
Suffix:
Gender:M
Credentials:DC BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13784 -B WARWICK BLVD.
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-5481
Mailing Address - Country:US
Mailing Address - Phone:757-877-3770
Mailing Address - Fax:757-877-7246
Practice Address - Street 1:13784 -B WARWICK BLVD.
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-5481
Practice Address - Country:US
Practice Address - Phone:757-877-3770
Practice Address - Fax:757-877-7246
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA098606OtherBC/BS # VA
VAT87736Medicare UPIN