Provider Demographics
NPI:1154701480
Name:SMITH, WILLIAM JACOB (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JACOB
Last Name:SMITH
Suffix:
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:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:HIGDEN
Mailing Address - State:AR
Mailing Address - Zip Code:72067-0115
Mailing Address - Country:US
Mailing Address - Phone:501-825-7200
Mailing Address - Fax:501-825-7972
Practice Address - Street 1:5 SHILOH RD
Practice Address - Street 2:
Practice Address - City:GREERS FERRY
Practice Address - State:AR
Practice Address - Zip Code:72067-9521
Practice Address - Country:US
Practice Address - Phone:318-372-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor