Provider Demographics
NPI:1447622790
Name:WILLIAMS, ALEX (DC)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:
Last Name:WILLIAMS
Suffix:
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 1:6020 MAIN ST SW STE C
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-6506
Mailing Address - Country:US
Mailing Address - Phone:253-426-1000
Mailing Address - Fax:253-267-1463
Practice Address - Street 1:6020 MAIN ST SW STE C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6506
Practice Address - Country:US
Practice Address - Phone:253-426-1000
Practice Address - Fax:253-267-1463
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60604365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor