COLLEGE PLACE CHIROPRACTIC NPI 1417146606

NPI Information

  • NPI: 1417146606
  • Provider Name: COLLEGE PLACE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 716 S COLLEGE AVE
    COLLEGE PLACE, WA
    ZIP 99324
  • Phone: (509) 525-7661

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NPI Details

COLLEGE PLACE CHIROPRACTIC is a chiropractor in College Place, 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. COLLEGE PLACE CHIROPRACTIC NPI is 1417146606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

716 S COLLEGE AVE
COLLEGE PLACE, WA
ZIP 99324-519
Phone: (509) 525-7661

The provider's authorized official is Derek Rex Hayden .
The authorized official title is Chiropractor and has the following contact phone number (509) 525-7661.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 4/1/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH00034208WASHINGTONYes

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
1G8852039MEDICARE PIN
2G8852038MEDICARE PIN
3U95654MEDICARE UPIN

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: 11/21/2025

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