Basic Information
| Provider Information | |||||||||
| NPI: | 1003010075 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALBERT | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | DC | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 937 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NEW MILFORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 188347431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704653444 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 937 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NEW MILFORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 188347431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704653444 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 07/03/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 0104556609 | VA | N | Chiropractic Providers | Chiropractor | 111N00000X | DC009867 | PA | Y | Chiropractic Providers | Chiropractor |
No ID Information.