Provider Demographics
NPI:1053595090
Name:WILLIAM D ENGLISH DC PS
Entity type:Organization
Organization Name:WILLIAM D ENGLISH DC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFC MGR, SEC-TRSR
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-447-4498
Mailing Address - Street 1:PO BOX 1466
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99156-1466
Mailing Address - Country:US
Mailing Address - Phone:509-447-4498
Mailing Address - Fax:
Practice Address - Street 1:400 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:WA
Practice Address - Zip Code:99156-1466
Practice Address - Country:US
Practice Address - Phone:509-447-4498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8802530Medicare PIN