Alex Castellanos, DC | |
13028 Interurban Ave S Ste 106, Tukwila, WA 98168-3340 | |
(206) 957-7950 | |
Not Available |
Full Name | Alex Castellanos |
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Gender | Male |
Speciality | Chiropractor |
Location | 13028 Interurban Ave S Ste 106, Tukwila, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942087671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH61477806 (Washington) | Primary |
Provider Name | Gonstead Chiropractic Of Seattle, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346738408 PECOS PAC ID: 8426313404 Enrollment ID: O20180522000549 |
Mailing Address | Practice Location Address |
---|---|
Alex Castellanos, DC 943 W Ruby St, Pasco, WA 99301-3642 Ph: (509) 948-1723 | Alex Castellanos, DC 13028 Interurban Ave S Ste 106, Tukwila, WA 98168-3340 Ph: (206) 957-7950 |
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