Provider Demographics
NPI:1285797464
Name:WILLIAMS, STEVE A (DC)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:WILLIAMS
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 1:1300 25TH ST PLAZA
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311
Mailing Address - Country:US
Mailing Address - Phone:423-472-0000
Mailing Address - Fax:423-472-0141
Practice Address - Street 1:1300 25TH ST PLAZA
Practice Address - Street 2:SUITE 9
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311
Practice Address - Country:US
Practice Address - Phone:423-472-0000
Practice Address - Fax:423-472-0141
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U16748Medicare UPIN
3675825Medicare ID - Type Unspecified