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NPI Code Detail

MEDICARE: DR. MARK THOMAS WILLIAMS D.C.

MEDICARE: DR. MARK THOMAS 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
1111N00000XChiropractor1530OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000000568OTHEROHANTHEM COMMUNITY INS CO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538291737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK THOMAS WILLIAMS D.C.
Provider Business Mailing Address
First Line : 1219 WATERVLIET AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-2705
Country : US
Telephone Number : 937-256-2292
Fax Number : 937-256-9905
Provider Business Practice Location Address
First Line : 1219 WATERVLIET AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-2705
Country : US
Telephone Number : 937-256-2292
Fax Number : 937-256-9905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MARK THOMAS WILLIAMS D.C.” Practice Location

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