Healthcare Provider Details

I. General information

NPI: 1003010075
Provider Name (Legal Business Name): WILLIAM G ALBERT III DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 MAIN ST
NEW MILFORD PA
18834-7431
US

IV. Provider business mailing address

937 MAIN ST
NEW MILFORD PA
18834-7431
US

V. Phone/Fax

Practice location:
  • Phone: 570-465-3444
  • Fax:
Mailing address:
  • Phone: 570-465-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556609
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009867
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: