Provider Demographics
NPI:1306067269
Name:BERTIER, WILLIAMS (DC)
Entity type:Individual
Prefix:
First Name:WILLIAMS
Middle Name:
Last Name:BERTIER
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 1:79 EVELYN ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-6504
Mailing Address - Country:US
Mailing Address - Phone:203-286-0023
Mailing Address - Fax:203-286-0024
Practice Address - Street 1:9 MOTT AVE STE 303
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3336
Practice Address - Country:US
Practice Address - Phone:203-981-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor