Allen Nathanial Martin, DC | |
22790 Buchanan Street, Mount Vernon, WA 98273 | |
(360) 856-5562 | |
Not Available |
Full Name | Allen Nathanial Martin |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 22790 Buchanan Street, Mount Vernon, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538210794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00034660 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Country Chiropractic Clinic, Pllc | 6709969447 | 2 |
Provider Name | Country Chiropractic Clinic, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184757981 PECOS PAC ID: 6709969447 Enrollment ID: O20080219000083 |
Mailing Address | Practice Location Address |
---|---|
Allen Nathanial Martin, DC Po Box 508, Clearlake, WA 98235-0508 Ph: (360) 856-5562 | Allen Nathanial Martin, DC 22790 Buchanan Street, Mount Vernon, WA 98273 Ph: (360) 856-5562 |
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