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General NPI Number Information
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NPI Number | 1053488627
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Entity Type | Organization
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Legal Business Name | WILLIAM MICHAEL MASTERSON BS DC INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 16000 PEARL RD SUITE 206
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City | STRONGVILLE
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State | OH
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Zip | 44136-6094
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Country | US
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Telephone | 440-238-4442
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Fax | 440-238-0958
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Provider Business Mailing Address
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Address Line | 16000 PEARL RD SUITE 206
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City | STRONGVILLE
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State | OH
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Zip | 44136-6094
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Country | US
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Telephone | 440-238-4442
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Fax | 440-238-0958
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. ROSEMARY D MASTERSON
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Credential |
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Telephone | 440-238-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 709
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License Number State | OH
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