Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 010441 | NY |
N | 111N00000X | Chiropractor | 6510202 | NH |
NPI | 1003883935 |
---|---|
Provider Name | William A Mcgrimley |
First Address | Seneca Falls, NY 13148 |
Second Address | Seneca Falls, NY 13148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U91503 | (02) |