Bo Mullen, DC | |
11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 | |
(253) 858-5152 | |
(253) 858-5153 |
Full Name | Bo Mullen |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, 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 |
---|---|---|---|
1356726657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60582933 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harbor Life Chiropractic Pc | 8527358860 | 2 |
Provider Name | Harbor Life Chiropractic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265892194 PECOS PAC ID: 8527358860 Enrollment ID: O20160527001516 |
Mailing Address | Practice Location Address |
---|---|
Bo Mullen, DC 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 Ph: (253) 858-5152 | Bo Mullen, DC 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 Ph: (253) 858-5152 |
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