Dr Edward D Corley, DC | |
4114 Bridgeport Way West, University Place, WA 98466 | |
(253) 564-8100 | |
(253) 564-8387 |
Full Name | Dr Edward D Corley |
---|---|
Gender | Male |
Speciality | Chiropractor - Rehabilitation |
Location | 4114 Bridgeport Way West, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821151820 | NPI | - | NPPES |
CO5411 | Other | WA | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | CH00003648 (Washington) | Primary |
Provider Name | Pacific Wellness And Spa Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437356201 PECOS PAC ID: 4183708803 Enrollment ID: O20080219000787 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward D Corley, DC 4114 Bridgeport Way West, University Place, WA 98466 Ph: (253) 564-8100 | Dr Edward D Corley, DC 4114 Bridgeport Way West, University Place, WA 98466 Ph: (253) 564-8100 |
Seth Jacob Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 27th St W, University Place, WA 98466 Phone: 253-566-4744 Fax: 253-566-6744 | |
Dr. Shane D. Boucher, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 7307 40th St W Ste B, University Place, WA 98466 Phone: 253-753-6204 | |
Dr. Thomas Michael Williams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-564-6747 | |
Pearl Chiropractic, P S Chiropractor Medicare: Medicare Enrolled Practice Location: 7025 27th St W Ste 1, University Place, WA 98466 Phone: 253-970-5077 Fax: 253-327-1296 | |
Dr. Mattheu Owen Williams, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-566-2225 | |
Pacific Wellness And Spa Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 4114 Bridgeport Way W, University Place, WA 98466 Phone: 253-564-8100 Fax: 253-564-8387 | |
Bayside Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7307 40th St W Ste B, University Place, WA 98466 Phone: 253-753-6204 |