Fauntleroy Chiropractic, P.s. | |
4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | |
(206) 932-6605 | |
(206) 933-6999 |
Full Name | Fauntleroy Chiropractic, P.s. |
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Type | Facility |
Speciality | Chiropractor |
Location | 4520 Fauntleroy Way Sw, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225320096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH3113 (Washington) | Primary |
Provider Name | Bryan S Wiebe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790826873 PECOS PAC ID: 3072784859 Enrollment ID: I20110928000213 |
Mailing Address | Practice Location Address |
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Fauntleroy Chiropractic, P.s. 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 Ph: (206) 932-6605 | Fauntleroy Chiropractic, P.s. 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 Ph: (206) 932-6605 |
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