MEDICARE: DR. ELIZABETH A WILLIAMS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC3650	OH
2	111N00000X	Chiropractor	34108	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7460414	OTHER	OH	AETNA
2	000000386426	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	311201162-00	OTHER	OH	WORKERS' COMPENSATION

General Provider Information

NPI Number	:	1811918410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH A WILLIAMS D.C.

Provider Business Mailing Address
First Line	:	1207 CARLSBAD VILLAGE DR STE U
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1958
Country	:	US
Telephone Number	:	858-935-5957
Fax Number	:

Provider Business Practice Location Address
First Line	:	1207 CARLSBAD VILLAGE DR STE U
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1958
Country	:	US
Telephone Number	:	858-935-5957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/04/2021

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