Individual
DR. WILLIAM PAUL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
220 WASHINGTON ST W, CHARLESTON, WV 25302
(304) 345-1466
(304) 345-1469
Mailing address
220 WASHINGTON ST W, CHARLESTON, WV 25302
(304) 345-1466
(304) 345-1469
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720504
MT STATE BLUE CROSS/SHIEL
WV
05
—
0131285000
—
WV
01
—
55-0649349
FEIN #
—
Enumeration date
10/13/2006
Last updated
03/07/2019
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