LAKE STEVENS CHIROPRACTIC PLLC NPI 1467592741

NPI Information

NPI: 1467592741
Provider Name: LAKE STEVENS CHIROPRACTIC, PLLC

Doing Business As: LAKE STEVENS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
905 STATE ROUTE 9 NE
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 334-5066
Get Directions

LAKE STEVENS CHIROPRACTIC, PLLC is a chiropractor in Lake Stevens, 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. LAKE STEVENS CHIROPRACTIC, PLLC NPI is 1467592741. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lake Stevens Chiropractic.

The provider's business location address is:

905 STATE ROUTE 9 NE
LAKE STEVENS, WA
ZIP 98258-484
Phone: (425) 334-5066
Fax: (425) 335-4787

The provider's authorized official is Peter Hanson .
The authorized official title is Owner and has the following contact phone number (425) 334-5066.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 5/15/2023.

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	CH00001249	WASHINGTON	No
2	111N00000X	Chiropractor	CH0002638	WASHINGTON	No
3	111N00000X	Chiropractor	CH00000734	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	Other Provider Identifier Issuer
1	11170071	OTHER	WASHINGTON	CAQH
2	2026931	MEDICAID	WASHINGTON
3	2016458	MEDICAID	WASHINGTON
4	8864765	OTHER	WASHINGTON	MEDICARE DR GADDIS
5	13819800	OTHER	WASHINGTON	CAQH
6	12014	OTHER	WASHINGTON	LABOR & INDUSTRIES
7	2319903	MEDICAID	WASHINGTON
8	0291162	OTHER	WASHINGTON	DEPT. OF LABOR & INDUSTRIES
9	12346880	OTHER	WASHINGTON	CAQH
10	0353640	OTHER	WASHINGTON	DEPT. OF LABOR & INDUSTRIES

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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