Provider Demographics
NPI:1649307257
Name:SWEET, WILLIAM E (DC QME)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:SWEET
Suffix:
Gender:M
Credentials:DC QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 E NOBLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1520
Mailing Address - Country:US
Mailing Address - Phone:559-625-0242
Mailing Address - Fax:559-625-0248
Practice Address - Street 1:2025 E NOBLE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1520
Practice Address - Country:US
Practice Address - Phone:559-625-0242
Practice Address - Fax:559-625-0248
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0259361Medicare UPIN