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SSFC PS NPI 1972723641


NPI Information

NPI: 1972723641
Provider Name: SSFC PS

Doing Business As: STATE STREET FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
919 STATE AVE STE 102
MARYSVILLE, WA
ZIP 98270
Phone: (360) 653-6010
Get Directions

SSFC PS is a chiropractor in Marysville, 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. SSFC PS NPI is 1972723641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As State Street Family Chiropractic.

The provider's business location address is:

919 STATE AVE STE 102
MARYSVILLE, WA
ZIP 98270-284
Phone: (360) 653-6010
Fax: (360) 653-6008

The provider's authorized official is Gordon A Myco .
The authorized official title is Chiropractor Owner and has the following contact phone number (360) 653-6010.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 1/6/2009.


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
1111N00000XChiropractorCH00003460WASHINGTONYes

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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