=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962572693
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM P. BROWN, D.C., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/09/2006
-----------------------------------------------------
Last Update Date | 08/15/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13003 ECKEL JUNCTION RD STE 105
-----------------------------------------------------
City | PERRYSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-874-0405
-----------------------------------------------------
Fax | 419-874-0427
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13003 ECKEL JUNCTION RD STE 105
-----------------------------------------------------
City | PERRYSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43551-7633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-874-0405
-----------------------------------------------------
Fax | 419-874-0427
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | DR. WILLIAM P. BROWN
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 419-874-0405
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 2090
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------