Provider Demographics
NPI:1609828607
Name:CHROMEY, WILLIAM STEPHEN (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:CHROMEY
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 1:1416 MARSH MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-6707
Mailing Address - Country:US
Mailing Address - Phone:407-885-0317
Mailing Address - Fax:407-386-3282
Practice Address - Street 1:1416 MARSH MEADOW LN
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896
Practice Address - Country:US
Practice Address - Phone:407-885-0317
Practice Address - Fax:407-386-3282
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007329-L111N00000X
FLCH11466111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH 019921Medicare ID - Type Unspecified
PA72690Medicare UPIN