Healthcare Provider Details

I. General information

NPI: 1851943641
Provider Name (Legal Business Name): JAMES MICHAEL WILLIAMS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 ARMCO RD
ASHLAND KY
41101-7370
US

IV. Provider business mailing address

455 ARMCO RD
ASHLAND KY
41101-7370
US

V. Phone/Fax

Practice location:
  • Phone: 606-326-1132
  • Fax: 606-326-0114
Mailing address:
  • Phone: 606-326-1132
  • Fax: 606-326-0114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number289222
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104-557540
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: