Healthcare Provider Details
I. General information
NPI: 1174647317
Provider Name (Legal Business Name): WILLIAM C CHANEY DC PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2007
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4056 COMMERCIAL WAY
SPRING HILL FL
34606
US
IV. Provider business mailing address
4056 COMMERCIAL WAY
SPRING HILL FL
34606-2398
US
V. Phone/Fax
- Phone: 352-686-6385
- Fax: 352-686-6982
- Phone: 352-686-6385
- Fax: 352-686-6982
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
C
CHANEY
Title or Position: PRESIDENT OWNER
Credential: DC DIBCN
Phone: 352-686-6385