MEDICARE: WILLIAM ERNEST PREASE 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	2839	NC

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
2	0844W	OTHER	NC	BC/BS

General Provider Information

NPI Number	:	1417922899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ERNEST PREASE D.C.

Provider Business Mailing Address
First Line	:	PO BOX 664
Second Line	:
City	:	WHITEVILLE
State	:	NC
Zip	:	28472-0664
Country	:	US
Telephone Number	:	910-654-3581
Fax Number	:	910-654-4999

Provider Business Practice Location Address
First Line	:	5754 CHADBOURN HWY
Second Line	:
City	:	CHADBOURN
State	:	NC
Zip	:	28431-8434
Country	:	US
Telephone Number	:	910-654-3581
Fax Number	:	910-654-4999

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	10/25/2016

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