Provider Demographics
NPI:1023168853
Name:MCWILLIAMS, HARRY JR (DC)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:MCWILLIAMS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-0039
Mailing Address - Country:US
Mailing Address - Phone:740-625-6212
Mailing Address - Fax:740-625-6217
Practice Address - Street 1:29 N. CLAYTON ST.
Practice Address - Street 2:
Practice Address - City:CENTERBURG
Practice Address - State:OH
Practice Address - Zip Code:43011-0039
Practice Address - Country:US
Practice Address - Phone:740-625-6212
Practice Address - Fax:740-625-6217
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2440782Medicaid
OH9339731Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER