| Genesis Chiropractic Center Inc Ps | |
|
5630 3rd St, Ferndale, WA 98248 | |
| (360) 380-4848 | |
| Not Available |
| Full Name | Genesis Chiropractic Center Inc Ps |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5630 3rd St, Ferndale, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508053497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00003092 (Washington) | Primary |
| Provider Name | Mark A Mielke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659410454 PECOS PAC ID: 1557302965 Enrollment ID: I20120508000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Chiropractic Center Inc Ps Po Box 2098, Ferndale, WA 98248-2098 Ph: (360) 380-4848 | Genesis Chiropractic Center Inc Ps 5630 3rd St, Ferndale, WA 98248 Ph: (360) 380-4848 |
Dr. Terry R. Rouse, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2116 Main Street, Ferndale, WA 98248 Phone: 360-312-8822 Fax: 360-312-8002 | |
Dr. Christopher Muheim, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2376 Main St Ste 1, Ferndale, WA 98248 Phone: 360-312-4656 | |
Charles Jeffery, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1943 Main St., Ferndale, WA 98248 Phone: 360-384-1396 Fax: 360-384-1365 | |
Pierre R Constantin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2376 Main Street, Suite 1, Ferndale, WA 98248 Phone: 360-312-4656 Fax: 360-392-8732 | |
Dr. Susan M Constantin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2017 Main St., Ferndale, WA 98248 Phone: 360-384-4611 Fax: 360-384-2574 | |
Dr. Mark Alexander Mielke, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5630 3rd St, Ferndale, WA 98248 Phone: 360-380-4848 Fax: 360-384-7416 |