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ACTION CHIROPRATIC NPI 1003005653


NPI Profile

NPI: 1003005653
Provider Name: ACTION CHIROPRATIC
Classification:Chiropractor - 111N00000X
Entity Type: Organization
Address:
1501 POTTERY AVE
PORT ORCHARD, WA
ZIP 98366
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Phone: (360) 876-6865

ACTION CHIROPRATIC is a chiropractor in Port Orchard, 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. ACTION CHIROPRATIC NPI is 1003005653. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 POTTERY AVE
PORT ORCHARD, WA
ZIP 98366-712
Phone: (360) 876-6865
Fax: (360) 876-5507

The provider's authorized official is Brian C Willyard .
The authorized official title is Owner and has the following contact phone number (360) 876-6865.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.


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
1111N00000XChiropractorCH00003380WASHINGTONYes

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
1GAB002571MEDICARE 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: 5/9/2021

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