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BACK IN MOTION CHIROPRACTIC P.C. NPI 1184828618


NPI Information

NPI: 1184828618
Provider Name: BACK IN MOTION CHIROPRACTIC P.C.

Doing Business As: BACK IN MOTION CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1115 BLACK LAKE BLVD SW STE A
OLYMPIA, WA
ZIP 98502
Phone: (360) 357-7585
Get Directions

BACK IN MOTION CHIROPRACTIC P.C. is a chiropractor in Olympia, 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. BACK IN MOTION CHIROPRACTIC P.C. NPI is 1184828618. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Back In Motion Chiropractic.

The provider's business location address is:

1115 BLACK LAKE BLVD SW STE A
OLYMPIA, WA
ZIP 98502-026
Phone: (360) 357-7585
Fax: (360) 236-0649

The provider's authorized official is Donald Michael Soran .
The authorized official title is President and has the following contact phone number (360) 357-7585.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 6/18/2008.


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
1111N00000XChiropractorCH00003654WASHINGTONYes

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
1125644OTHERWASHINGTONINDAVIDUAL L&I
2CH00003654OTHERWASHINGTONSTATE LICENCE
3U74501MEDICARE UPINWASHINGTON
4AB08585MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
5U74501MEDICARE UPIN
6125645OTHERWASHINGTONGROUP L&I

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: 11/14/2023

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