Provider Demographics
NPI:1679777403
Name:LENGKEEK, WILLIAM DEANE (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DEANE
Last Name:LENGKEEK
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 1:3520 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-3812
Mailing Address - Country:US
Mailing Address - Phone:231-733-1100
Mailing Address - Fax:231-733-1102
Practice Address - Street 1:3520 GREEN ST
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-3812
Practice Address - Country:US
Practice Address - Phone:231-733-1100
Practice Address - Fax:231-733-1102
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor