MEDICARE: DR. EARL NEIL WILLIAMS D.C.

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	WV108	WV

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	:	1366442840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EARL NEIL WILLIAMS D.C.

Provider Business Mailing Address
First Line	:	HC 72 BOX 124A
Second Line	:
City	:	NEW CREEK
State	:	WV
Zip	:	26743-9605
Country	:	US
Telephone Number	:	304-788-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 WATER STREET DR
Second Line	:
City	:	MOOREFIELD
State	:	WV
Zip	:	26836-1058
Country	:	US
Telephone Number	:	304-538-2559
Fax Number	:	304-538-6421

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	07/08/2007

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