Healthcare Provider Details

I. General information

NPI: 1326146804
Provider Name (Legal Business Name): MICHELLE LYNN WILLIAMS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 RIGGS RD SUITE 208
ADELPHI MD
20783-4246
US

IV. Provider business mailing address

3927 BLACKBURN LN APT 24
BURTONSVILLE MD
20866-1282
US

V. Phone/Fax

Practice location:
  • Phone: 301-439-0381
  • Fax: 301-439-0383
Mailing address:
  • Phone: 240-390-0038
  • Fax: 301-439-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS02162
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: