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KITSAP SPINE AND WELLNESS PLLC NPI 1649817354


NPI Information

NPI: 1649817354
Provider Name: KITSAP SPINE AND WELLNESS PLLC

Other Name: MARK T GOODMAN DC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3888 NW RANDALL WAY STE 202
SILVERDALE, WA
ZIP 98383
Phone: (360) 377-1626
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KITSAP SPINE AND WELLNESS PLLC is a chiropractor in Silverdale, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KITSAP SPINE AND WELLNESS PLLC NPI is 1649817354. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mark T Goodman Dc.

The provider's business location address is:

3888 NW RANDALL WAY STE 202
SILVERDALE, WA
ZIP 98383-847
Phone: (360) 377-1626
Fax: (360) 377-1903

The provider's authorized official is Mark Thomas Goodman .
The authorized official title is Owner/president and has the following contact phone number (360) 377-1626.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 4/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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