Healthcare Provider Details

I. General information

NPI: 1285674259
Provider Name (Legal Business Name): ALAN CHARLES WILLIAMS CO
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W 412 BOONE
SPOKANE WA
99201
US

IV. Provider business mailing address

1202 E BLUE HERON CT
SPOKANE WA
99208
US

V. Phone/Fax

Practice location:
  • Phone: 509-326-6401
  • Fax: 509-325-5986
Mailing address:
  • Phone: 509-701-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberPS00000120
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPS00000119
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: