ADVANCED WELLNESS AND REHABILITATION PLLC NPI 1932460896

NPI Information

NPI: 1932460896
Provider Name: ADVANCED WELLNESS AND REHABILITATION PLLC

Former Legal Business Name: ADVANCED WELLNESS AND REHABILITATION

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10513 SILVERDALE WAY
STE 102
SILVERDALE, WA
ZIP 98383
Phone: (360) 698-4411
Get Directions

ADVANCED WELLNESS AND REHABILITATION 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. ADVANCED WELLNESS AND REHABILITATION PLLC NPI is 1932460896. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Advanced Wellness And Rehabilitation.

The provider's business location address is:

10513 SILVERDALE WAY
STE 102
SILVERDALE, WA
ZIP 98383-499
Phone: (360) 698-4411
Fax: (360) 698-6953

The provider's authorized official is Darlene S Williams .
The authorized official title is Office Manager and has the following contact phone number (360) 698-4411.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 11/21/2017.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	CH00003462	WASHINGTON	Yes
2	111N00000X	Chiropractor	CH00002820	WASHINGTON	No
3	111N00000X	Chiropractor	CH00034705	WASHINGTON	No
4	111N00000X	Chiropractor	025202CH00003462	WASHINGTON	No
5	171100000X	Acupuncturist	AC00002719	WASHINGTON	No
6	171100000X	Acupuncturist	60138481	WASHINGTON	No
7	174400000X	Specialist	MA60253849	WASHINGTON	No
8	174400000X	Specialist	603120987	WASHINGTON	No
9	174400000X	Specialist	MA60182495	WASHINGTON	No
10	174400000X	Specialist	MA00015277	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8868477	MEDICARE PIN	WASHINGTON
2	GAB02210	MEDICARE PIN	WASHINGTON

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

NPI Synchronization or Removal

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