ADVANCED HEALTH CHIROPRACTIC INC. NPI 1003094509

NPI Information

NPI: 1003094509
Provider Name: ADVANCED HEALTH CHIROPRACTIC, INC.

Doing Business As: MILLENNIUM CHIROPRACTIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
702 SOUTH HILL PARK DR
SUITE 101
PUYALLUP, WA
ZIP 98373
Phone: (253) 840-3232
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ADVANCED HEALTH CHIROPRACTIC, INC. is a health service clinic center in Puyallup, WA. ADVANCED HEALTH CHIROPRACTIC, INC. NPI is 1003094509. The provider is registered as an organization entity type.
The provider Is Doing Business As Millennium Chiropractic.

The provider's business location address is:

702 SOUTH HILL PARK DR
SUITE 101
PUYALLUP, WA
ZIP 98373-426
Phone: (253) 840-3232

The provider's authorized official is Tyren Jay Bratvold .
The authorized official title is Owner/president and has the following contact phone number (253) 840-3232.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.

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
1	261QH0100X	Clinic/Center	Health Service	CH00003571	WASHINGTON	Yes

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
1	AB36663	MEDICARE PIN	WASHINGTON
2	2026490	MEDICAID	WASHINGTON
3	473894	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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