# DR. WILLIAM P KOTHEIMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194894881
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 696 | OH | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000025485 | ANTHEM BC BS INS | — |
| 01 | — | 34123263900 | WORKERS COMP | — |