Dr Cameron Mizeracki, DC | |
2609 5th Ave, Seattle, WA 98121-1517 | |
(206) 539-1619 | |
Not Available |
Full Name | Dr Cameron Mizeracki |
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Gender | Male |
Speciality | Chiropractor |
Location | 2609 5th Ave, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598432445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH61499339 (Washington) | Primary |
111N00000X | Chiropractor | 36017 (California) | Secondary |
Provider Name | Chiro One Wellness Center Of Belltown Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710624317 PECOS PAC ID: 9032598198 Enrollment ID: O20220620001642 |
Mailing Address | Practice Location Address |
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Dr Cameron Mizeracki, DC 2609 5th Ave, Seattle, WA 98121-1517 Ph: () - | Dr Cameron Mizeracki, DC 2609 5th Ave, Seattle, WA 98121-1517 Ph: (206) 539-1619 |
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