Provider Demographics
NPI:1528153251
Name:PADGETT, WILLIAM CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:PADGETT
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 1:4002 20TH AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-3412
Mailing Address - Country:US
Mailing Address - Phone:334-768-2181
Mailing Address - Fax:334-768-2185
Practice Address - Street 1:4002 20TH AVE
Practice Address - Street 2:SUITE C
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854-3412
Practice Address - Country:US
Practice Address - Phone:334-768-2181
Practice Address - Fax:334-768-2185
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51514672Medicare ID - Type Unspecified
ALU92582Medicare UPIN