Non Surgical Spine Care Center 1 Pllc

NPI 1033406087 - Chiropractor - 111N00000X

NPI Details
NPI 1033406087
Enumeration Date 06/28/2011
Last Updated 10/18/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEREMY JOHN JEREMY
Position PRESIDENT
Phone (425) 455-3472
Fax
Practice Location
1240 116TH AVE NE
SUITE #101
BELLEVUE WA, 98004-3815, US
Phone (425) 455-3472
Fax
Business Location
1240 116TH AVE NE
SUITE #101
BELLEVUE WA, 98004-3815, US
Phone (425) 455-3472
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Washington
License Number CH00034114
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According to our database, Non Surgical Spine Care Center 1 Pllc NPI is 1033406087, taxonomy code is 111N00000X and license number is CH00034114, license state is located at Washington. Non Surgical Spine Care Center 1 Pllc physically located at 1240 116th Ave Ne, Bellevue WA, 98004-3815. NPI Number 1033115704 has the healthcare provider type.

1033406087 NPI number is provided on an as is basis without warranty of any kind. 1033406087 is maintained by the National Plan & Provider Enumeration System. The contents of Non Surgical Spine Care Center 1 Pllc are for informational purposes only.