Provider Demographics
NPI:1962250266
Name:DILLARD V, WILLIAM HOWARD
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HOWARD
Last Name:DILLARD V
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22301 MILTON DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2022
Mailing Address - Country:US
Mailing Address - Phone:216-423-2787
Mailing Address - Fax:
Practice Address - Street 1:22301 MILTON DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2022
Practice Address - Country:US
Practice Address - Phone:216-423-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty