=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285664698
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JILL KLAWITER WILLIAMSON DC, MSCP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2006
-----------------------------------------------------
Last Update Date | 11/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1002 W CLAIREMONT AVE
-----------------------------------------------------
City | EAU CLAIRE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54701-6123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 534-200-6165
-----------------------------------------------------
Fax | 534-200-6166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1002 W CLAIREMONT AVE
-----------------------------------------------------
City | EAU CLAIRE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54701-6123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 534-200-6165
-----------------------------------------------------
Fax | 534-200-6166
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3839-012
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------