Provider Demographics
NPI:1396751301
Name:WILLIAMS, SCOTT DOUGLAS (DC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DOUGLAS
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 1:16325 MOUNT AIRY ROAD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361
Mailing Address - Country:US
Mailing Address - Phone:717-227-2225
Mailing Address - Fax:717-227-0784
Practice Address - Street 1:16325 MOUNT AIRY ROAD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361
Practice Address - Country:US
Practice Address - Phone:717-227-2225
Practice Address - Fax:717-227-0784
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006113L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor