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DIVERSIFIED WELLNESS CENTER NPI 1952559338


NPI Information

NPI: 1952559338
Provider Name: DIVERSIFIED WELLNESS CENTER

Doing Business As: PHYSIQUES HEALTH AND WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1463 E REPUBLICAN ST # 9A
SEATTLE, WA
ZIP 98112
Phone: (206) 568-1091
Get Directions

DIVERSIFIED WELLNESS CENTER 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. DIVERSIFIED WELLNESS CENTER NPI is 1952559338. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Physiques Health And Wellness Center.

The provider's business location address is:

1463 E REPUBLICAN ST # 9A
SEATTLE, WA
ZIP 98112-517
Phone: (206) 568-1091
Fax: (206) 568-1092

The provider's authorized official is Daniel Xavier Berjac .
The authorized official title is President and has the following contact phone number (206) 568-1091.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH00034371WASHINGTONYes

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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