Provider Demographics
NPI:1801869995
Name:UHL, WILLIAM A (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:UHL
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 1:637 NEW LOUDON RD
Mailing Address - Street 2:BAYBERRY SQUARE
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-4077
Mailing Address - Country:US
Mailing Address - Phone:518-783-3031
Mailing Address - Fax:518-783-3032
Practice Address - Street 1:637 NEW LOUDON RD
Practice Address - Street 2:BAYBERRY SQUARE
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-4077
Practice Address - Country:US
Practice Address - Phone:518-783-3031
Practice Address - Fax:518-783-3032
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010889111N00000X
NYX010889-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0227Medicare ID - Type Unspecified
BA0227Medicare UPIN
NYV00666Medicare UPIN