| Essential Chirowellness | |
|
15608 18th Pl W, Lynnwood, WA 98087-8800 | |
| (425) 773-8553 | |
| (206) 202-1575 |
| Full Name | Essential Chirowellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15608 18th Pl W, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396070488 | NPI | - | NPPES |
| 0252664 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00003526 (Washington) | Primary |
| Provider Name | Sky Boulom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245459718 PECOS PAC ID: 7810087111 Enrollment ID: I20071226000049 |
| Provider Name | Jeudi Taing Boulom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235250036 PECOS PAC ID: 1456772300 Enrollment ID: I20200601001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Chirowellness 15608 18th Pl W, Lynnwood, WA 98087-8800 Ph: (425) 773-8553 | Essential Chirowellness 15608 18th Pl W, Lynnwood, WA 98087-8800 Ph: (425) 773-8553 |
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