Healthcare Provider Details

I. General information

NPI: 1184813735
Provider Name (Legal Business Name): WILLIAM STONE LIVERMORE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S DAYTON WAY SUITE 1007
DENVER CO
80231-3992
US

IV. Provider business mailing address

2525 S DAYTON WAY SUITE 1007
DENVER CO
80231-3992
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-1661
  • Fax: 303-745-7153
Mailing address:
  • Phone: 303-756-1661
  • Fax: 303-745-7153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1241
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: