Provider Demographics
NPI:1912902354
Name:KULIK, WILLIAM WAYNE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WAYNE
Last Name:KULIK
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2101 MACK BLVD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5685
Mailing Address - Country:US
Mailing Address - Phone:610-797-6466
Mailing Address - Fax:610-797-3772
Practice Address - Street 1:2101 MACK BLVD
Practice Address - Street 2:LOWR LEVEL
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5685
Practice Address - Country:US
Practice Address - Phone:610-797-6466
Practice Address - Fax:610-797-2337
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC002207L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor