Provider Demographics
NPI:1891861845
Name:ATHERTON, WILLIAM W (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:ATHERTON
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 1:795 NE 127TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4826
Mailing Address - Country:US
Mailing Address - Phone:305-895-6408
Mailing Address - Fax:
Practice Address - Street 1:795 NE 127TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4826
Practice Address - Country:US
Practice Address - Phone:305-895-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7981111NR0200X
NYX008063-1111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology