Justin Reid, DC | |
1487 Ne Dawn Rd, Bremerton, WA 98311-3122 | |
(360) 373-8899 | |
Not Available |
Full Name | Justin Reid |
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Gender | Male |
Speciality | Chiropractor |
Location | 1487 Ne Dawn Rd, Bremerton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962807131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 60505989 (Washington) | Primary |
Provider Name | Haley Chiropractic Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316128382 PECOS PAC ID: 0143215475 Enrollment ID: O20040416000895 |
Mailing Address | Practice Location Address |
---|---|
Justin Reid, DC 1128 N 28th St, Tacoma, WA 98403-2916 Ph: (503) 964-3050 | Justin Reid, DC 1487 Ne Dawn Rd, Bremerton, WA 98311-3122 Ph: (360) 373-8899 |
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