Dr Joshua Lee Penner, DC | |
3150 W Government Way, A-2, Seattle, WA 98199-1459 | |
(206) 906-9239 | |
Not Available |
Full Name | Dr Joshua Lee Penner |
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Gender | Male |
Speciality | Chiropractor |
Location | 3150 W Government Way, 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 |
---|---|---|---|
1568603264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60067858 (Washington) | Primary |
Provider Name | Magnolia Chiropractic And Massage |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396060661 PECOS PAC ID: 4880721919 Enrollment ID: O20100422000112 |
Mailing Address | Practice Location Address |
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Dr Joshua Lee Penner, DC 5427 17th Ave Nw, #201, Seattle, WA 98107-3819 Ph: (360) 969-0495 | Dr Joshua Lee Penner, DC 3150 W Government Way, A-2, Seattle, WA 98199-1459 Ph: (206) 906-9239 |
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