Elma Chiroptactic Clinic | |
103 N 1st Street, Elma, WA 98541 | |
(360) 482-5155 | |
(360) 482-4155 |
Full Name | Elma Chiroptactic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 103 N 1st Street, Elma, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699817197 | NPI | - | NPPES |
2020535 | Medicaid | WA | |
46871 | Other | WA | L & I |
346230001 | Other | WA | GROUP HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00003029 (Washington) | Primary |
111N00000X | Chiropractor | 2953781202 (Utah) | Secondary |
Provider Name | Matthew S Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508039777 PECOS PAC ID: 3577641273 Enrollment ID: I20080422000202 |
Provider Name | Jordan Matthew Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003457466 PECOS PAC ID: 5395154074 Enrollment ID: I20210510001531 |
Mailing Address | Practice Location Address |
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Elma Chiroptactic Clinic Po Box 656, Elma, WA 98541 Ph: (360) 482-5155 | Elma Chiroptactic Clinic 103 N 1st Street, Elma, WA 98541 Ph: (360) 482-5155 |
Jordan Matthew Peterson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 103 N 1st St, Elma, WA 98541 Phone: 360-482-5155 | |
Dr. John E Tyner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 302 W Anderson St, Elma, WA 98541 Phone: 360-482-5110 | |
Matthew S. Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 103 N. 1st Street, Elma, WA 98541 Phone: 360-482-5155 Fax: 360-482-4155 |