Healthcare Provider Details

I. General information

NPI: 1184764433
Provider Name (Legal Business Name): MICHAEL ALAN WILLIAMS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3819 KENTUCKY AVE 3819 KENTUCKY AVE
INDIANAPOLIS IN
46221-2709
US

IV. Provider business mailing address

3819 KENTUCKY AVE 3819 KENTUCKY AVE
INDIANAPOLIS IN
46221-2709
US

V. Phone/Fax

Practice location:
  • Phone: 317-856-0880
  • Fax: 317-856-0886
Mailing address:
  • Phone: 317-856-0880
  • Fax: 317-856-0886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001097
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number81000023A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: