Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 06-0000678 | VT |
NPI | 1134112899 |
---|---|
Provider Name | Dr. William T. Turek |
First Address | St Johnsbury, VT 05819-2364 |
Second Address | St Johnsbury, VT 05819-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2005 |
Last Update Date | 15/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T87660 | (02) |