Provider Demographics
NPI:1124166319
Name:TOLHURST, WILLIAM HENRY III (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:TOLHURST
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14125 CAPRI DR
Mailing Address - Street 2:STE 1A
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1541
Mailing Address - Country:US
Mailing Address - Phone:408-356-9459
Mailing Address - Fax:
Practice Address - Street 1:14125 CAPRI DR
Practice Address - Street 2:STE 1A
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1541
Practice Address - Country:US
Practice Address - Phone:408-356-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 14788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14788Medicare ID - Type UnspecifiedCALIFORNIA STATE CHIRO. #