Healthcare Provider Details

I. General information

NPI: 1194894881
Provider Name (Legal Business Name): WILLIAM P KOTHEIMER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MAIN ST
MILFORD OH
45150-0123
US

IV. Provider business mailing address

201 MAIN ST
MILFORD OH
45150-0123
US

V. Phone/Fax

Practice location:
  • Phone: 513-871-4092
  • Fax: 513-871-4092
Mailing address:
  • Phone: 513-871-4092
  • Fax: 513-871-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number696
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: