BLAINE CHIROPRACTIC CLINIC LLC NPI 1861848699

NPI Information

NPI: 1861848699
Provider Name: BLAINE CHIROPRACTIC CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
245 H ST
BLAINE, WA
ZIP 98230
Phone: (360) 332-1086
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BLAINE CHIROPRACTIC CLINIC LLC is a chiropractor in Blaine, 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. BLAINE CHIROPRACTIC CLINIC LLC NPI is 1861848699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

245 H ST
BLAINE, WA
ZIP 98230-021
Phone: (360) 332-1086
Fax: (360) 332-6071

The provider's authorized official is Pierre R Constantin .
The authorized official title is Owner and has the following contact phone number (360) 319-3485.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 7/10/2019.

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
1	111N00000X	Chiropractor		CH00001782	WASHINGTON	Yes

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
1	063990000	OTHER	WASHINGTON	REGENCE BLUESHIELD
2	456782001	OTHER	WASHINGTON	GROUP HEALTH
3	2091205	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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