Crackyourbackjack, Inc. | |
7901 Skansie Ave Ste 110, Gig Harbor, WA 98335-8349 | |
(253) 358-6094 | |
Not Available |
Full Name | Crackyourbackjack, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 7901 Skansie Ave Ste 110, Gig Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235884453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jack Kieran Lindley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972116184 PECOS PAC ID: 1658762794 Enrollment ID: I20211227001030 |
Mailing Address | Practice Location Address |
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Crackyourbackjack, Inc. 4539 Olympus Loop, Gig Harbor, WA 98332-8069 Ph: (360) 631-8313 | Crackyourbackjack, Inc. 7901 Skansie Ave Ste 110, Gig Harbor, WA 98335-8349 Ph: (253) 358-6094 |
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