1720323439 NPI number — WILLIAMS CHIROPRACTIC CLINIC, INC

Table of content: DR. ZACHARY REIERSON DDS (NPI 1780201129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720323439 NPI number — WILLIAMS CHIROPRACTIC CLINIC, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAMS CHIROPRACTIC CLINIC, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720323439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 127
Provider Second Line Business Mailing Address:
2660 HWY 140 STE D
Provider Business Mailing Address City Name:
CATHEYS VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95306-0127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-742-4081
Provider Business Mailing Address Fax Number:
209-742-4083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2660 HWY 140 STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATHEYS VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95306-0127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-742-4081
Provider Business Practice Location Address Fax Number:
209-742-4083
Provider Enumeration Date:
12/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
209-742-4081

Provider Taxonomy Codes

  • Taxonomy code: 261QC1800X , with the licence number:  DC015756 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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