Individual
WILLIAM WILKERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
802 S 10TH ST, SUITE B, LEESVILLE, LA 71446-4612
(337) 238-5338
(337) 238-5340
Mailing address
802 S 10TH ST, SUITE B, LEESVILLE, LA 71446-4612
(337) 238-5338
(337) 238-5340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1490
LA
111N00000X
Chiropractor
DC29021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0290210
BLUE SHIELD
CA
Enumeration date
10/12/2006
Last updated
12/17/2008
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