=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649456708
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAMS CHIROPRACTIC, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2008
-----------------------------------------------------
Last Update Date | 01/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 207 SE 8TH ST
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-4243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-351-9696
-----------------------------------------------------
Fax | 352-369-9696
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5499 NE 6TH CT
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34479-7628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-732-6087
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. JOHN ALAN WILLIAMS
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 352-351-9696
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH8032
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------