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DR JOHN A WOOD DC PS NPI 1811170442


NPI Information

NPI: 1811170442
Provider Name: DR JOHN A WOOD DC PS

Other Name: FAMILY CHIROPRACTIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
11027 SE KENT KANGLEY RD
KENT, WA
ZIP 98030
Phone: (253) 630-9395
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DR JOHN A WOOD DC PS is a clinic center in Kent, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR JOHN A WOOD DC PS NPI is 1811170442. The provider is registered as an organization entity type.
The provider Other Name Is Family Chiropractic.

The provider's business location address is:

11027 SE KENT KANGLEY RD
KENT, WA
ZIP 98030-205
Phone: (253) 630-9395
Fax: (253) 639-2219

The provider's authorized official is John A Wood .
The authorized official title is Doctor/chiropractor and has the following contact phone number (253) 630-9395.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/6/2011.


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
1261Q00000XClinic/Center2460WASHINGTONYes

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
18405029MEDICAIDWASHINGTON
269518MEDICARE UPINWASHINGTON
32012235MEDICAIDWASHINGTON
4GAB21434MEDICARE PINWASHINGTON
5GAB21435MEDICARE PINWASHINGTON
6=========OTHERWASHINGTONTAX ID

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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