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35TH AVENUE CHIROPRACTIC PLLC NPI 1457490542


NPI Information

NPI: 1457490542
Provider Name: 35TH AVENUE CHIROPRACTIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9455 35TH AVE SW
SUITE E
SEATTLE, WA
ZIP 98126
Phone: (206) 932-8320
Get Directions

35TH AVENUE CHIROPRACTIC PLLC is a chiropractor in Seattle, 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. 35TH AVENUE CHIROPRACTIC PLLC NPI is 1457490542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9455 35TH AVE SW
SUITE E
SEATTLE, WA
ZIP 98126-898
Phone: (206) 932-8320
Fax: (206) 932-6941

The provider's authorized official is Eric Ryan Loberg .
The authorized official title is Owner And Chiropractor and has the following contact phone number (206) 932-8320.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH00034106WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U92785MEDICARE UPINWASHINGTON
21225012768OTHERWASHINGTONINDIVIDUAL NPI
30163578OTHERWASHINGTONLABOR & INDUSTRIES
4614143800OTHERWASHINGTONOWCP
5G8863267MEDICARE PINWASHINGTON
61457490542OTHERWASHINGTONGROUP NPI
75711LOOTHERWASHINGTONREGENCE BLUE SHIELD
8G8863268MEDICARE PINWASHINGTON

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

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