Individual
DR. WILLIAM J MISENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
221 W BROADWAY ST, MONTICELLO, IN 47960-2001
(574) 583-8890
(574) 583-8897
Mailing address
221 W BROADWAY ST, MONTICELLO, IN 47960-2001
(574) 583-8890
(574) 583-8897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001109A
IN
111NS0005X
Sports Physician Chiropractor
08001109A
IN
111NX0100X
Occupational Health Chiropractor
08001109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262770A
—
IN
Enumeration date
07/24/2006
Last updated
03/15/2021
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