| Columbia Chiropractic Pllc | |
|
11734 15th Ave Ne, Seattle, WA 98125-5026 | |
| (206) 364-9501 | |
| Not Available |
| Full Name | Columbia Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11734 15th Ave Ne, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073080172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Christopher Tobias Prouty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669842738 PECOS PAC ID: 7810241460 Enrollment ID: I20181116001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Chiropractic Pllc 17763 134th Ln Se, Renton, WA 98058-6818 Ph: (971) 217-2175 | Columbia Chiropractic Pllc 11734 15th Ave Ne, Seattle, WA 98125-5026 Ph: (206) 364-9501 |
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