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FEDERAL WAY CHIROPRACTIC PS NPI 1679693824


NPI Information

NPI: 1679693824
Provider Name: FEDERAL WAY CHIROPRACTIC PS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3301 SW 314TH ST
FEDERAL WAY, WA
ZIP 98023
Phone: (253) 838-0600
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FEDERAL WAY CHIROPRACTIC PS is a chiropractor in Federal Way, 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. FEDERAL WAY CHIROPRACTIC PS NPI is 1679693824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3301 SW 314TH ST
FEDERAL WAY, WA
ZIP 98023-831
Phone: (253) 838-0600
Fax: (253) 927-1300

The provider's authorized official is Duane Keith Mattson .
The authorized official title is Owner and has the following contact phone number (253) 838-0600.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 10/26/2012.


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
1111N00000XChiropractorCH00001139WASHINGTONYes

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
11427130459MEDICARE UPINWASHINGTON
2AB29806MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE NUMBER

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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