| Ultra Chiropractic | |
|
1100 Ne 47th St Ste 101, Seattle, WA 98105-4685 | |
| (206) 527-0123 | |
| (206) 527-0133 |
| Full Name | Ultra Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1100 Ne 47th St Ste 101, 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 |
|---|---|---|---|
| 1295422368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derek L Cardenas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255838223 PECOS PAC ID: 9436579398 Enrollment ID: I20201014000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Chiropractic 1100 Ne 47th St Ste 101, Seattle, WA 98105-4685 Ph: (206) 527-0123 | Ultra Chiropractic 1100 Ne 47th St Ste 101, Seattle, WA 98105-4685 Ph: (206) 527-0123 |
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