MEDICARE: MR. WILLIAM N ROSSOW DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	651	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326025289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM N ROSSOW DC

Provider Business Mailing Address
First Line	:	2725 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-4304
Country	:	US
Telephone Number	:	228-872-7111
Fax Number	:	228-872-4060

Provider Business Practice Location Address
First Line	:	2725 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-4304
Country	:	US
Telephone Number	:	228-872-7111
Fax Number	:	228-872-4060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	02/24/2020

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