Basic Information
Provider Information
NPI: 1750407854
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADAIR
FirstName: WILLIAM
MiddleName: J.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 524 S WASHINGTON ST
Address2:  
City: GETTYSBURG
State: PA
PostalCode: 173252594
CountryCode: US
TelephoneNumber: 7173342183
FaxNumber: 7173345246
Practice Location
Address1: 524 S WASHINGTON ST
Address2:  
City: GETTYSBURG
State: PA
PostalCode: 173252594
CountryCode: US
TelephoneNumber: 7173342183
FaxNumber: 7173345246
Other Information
ProviderEnumerationDate: 03/21/2007
LastUpdateDate: 02/25/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD429294PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
89853301MDCAREFIRST MD BCBSOTHER
196275001PAHIGHMARK BLUE SHIELDOTHER
2009156101PAAMERIHEALTH MERCY-WMGOTHER
28055201PAUNISON-WMGOTHER
02520850005MD MEDICAID
158330701PAGATEWAY-WMGOTHER


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