Dr Carl Russell Botefuhr, DC is a
Chiropractor based in Suquamish, Washington. Dr Carl Russell Botefuhr is licensed to practice in Washington (license number 2461) and his current practice location is
6505 Ne Prospect St, Suquamish, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 509-7147.
NPI number for Dr Carl Russell Botefuhr is 1588860613 and his current mailing address is Po Box 293, Suquamish, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588860613.
Healthcare Provider's Profile
| Full Name | Dr Carl Russell Botefuhr |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 6505 Ne Prospect St, Suquamish, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588860613
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 11/02/2012
Medical Identifiers
Medical identifiers for Dr Carl Russell Botefuhr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588860613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2461 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl Russell Botefuhr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carl Russell Botefuhr, DC
Po Box 293,
Suquamish, WA 98392-9702
Ph: (360) 509-7147 | Dr Carl Russell Botefuhr, DC
6505 Ne Prospect St,
Suquamish, WA 98392-9702
Ph: (360) 509-7147 |
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