MEDICARE: DR. WILLIAM HUNTER GREENWOOD DC, ND

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	2572	WA
2	175F00000X	Naturopath	801	WA
3	111N00000X	Chiropractor	2002017055	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	870439699	OTHER	MO	FEDERAL TAX ID #

General Provider Information

NPI Number	:	1417013111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HUNTER GREENWOOD DC, ND

Provider Business Mailing Address
First Line	:	PO BOX 1768
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-1768
Country	:	US
Telephone Number	:	417-725-6655
Fax Number	:	417-725-7840

Provider Business Practice Location Address
First Line	:	1361 WEST MOUNT VERNON STREET
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-7003
Country	:	US
Telephone Number	:	417-725-6655
Fax Number	:	417-725-7840

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/28/2022

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