Provider Demographics
NPI:1811918410
Name:WILLIAMS, ELIZABETH A (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 CARLSBAD VILLAGE DR STE U
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1958
Mailing Address - Country:US
Mailing Address - Phone:858-935-5957
Mailing Address - Fax:
Practice Address - Street 1:1207 CARLSBAD VILLAGE DR STE U
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1958
Practice Address - Country:US
Practice Address - Phone:858-935-5957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC3650111N00000X
CA34108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7460414OtherAETNA
OH000000386426OtherANTHEM
OH2572050Medicaid
OH311201162-00OtherWORKERS' COMPENSATION
OH2572050Medicaid
OHV02841Medicare UPIN