Healthcare Provider Details

I. General information

NPI: 1356551055
Provider Name (Legal Business Name): WILLIAMS FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE VILLAGE MALL BAY 12, RR1 BOX 10556
KINGSHILL VI
00850-9604
US

IV. Provider business mailing address

THE VILLAGE MALL,BAY12 RR1 BOX 10556
KINGSHILL VI
00850-9604
US

V. Phone/Fax

Practice location:
  • Phone: 340-773-4300
  • Fax: 340-773-4300
Mailing address:
  • Phone: 340-773-4300
  • Fax: 340-773-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number9C
License Number State

VIII. Authorized Official

Name: MS. JOYCELYN LECOINTE
Title or Position: BILLING SPECIALIST
Credential:
Phone: 340-244-8963