Axis Chiropractic Clinic, Ps | |
3459 S 152nd St, Tukwila, WA 98188-2176 | |
(206) 241-2225 | |
(206) 241-5562 |
Full Name | Axis Chiropractic Clinic, Ps |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3459 S 152nd St, Tukwila, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245576008 | NPI | - | NPPES |
0306831 | Other | WA | DEPT. OF LABOR & INDUSTRIES |
391945651 | Other | WA | AMERICAN WHOLEHEALTH NETWORK |
KA0067 | Other | WA | BLUE CROSS/BLUE SHIELD |
2014876 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00002546 (Washington) | Primary |
Provider Name | Vernon H Kaczmarski |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669512455 PECOS PAC ID: 7618055385 Enrollment ID: I20080421000440 |
Mailing Address | Practice Location Address |
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Axis Chiropractic Clinic, Ps 3459 S 152nd St, Tukwila, WA 98188-2176 Ph: (206) 241-2225 | Axis Chiropractic Clinic, Ps 3459 S 152nd St, Tukwila, WA 98188-2176 Ph: (206) 241-2225 |
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