Healthcare Provider Details

I. General information

NPI: 1063539104
Provider Name (Legal Business Name): WILLIAMS CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 ATLANTIC AVE
RIPON CA
95366-9201
US

IV. Provider business mailing address

1365 ATLANTIC AVE
RIPON CA
95366-9201
US

V. Phone/Fax

Practice location:
  • Phone: 209-599-1037
  • Fax:
Mailing address:
  • Phone: 209-599-1037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0259980
License Number StateCA

VIII. Authorized Official

Name: DR. DANIEL J. WILLIAMS
Title or Position: PRESIDENT
Credential: DC
Phone: 209-456-2902