| Liberty Bay Chiropractic | |
|
19740 7th Ave Ne # 9, Poulsbo, WA 98370-7571 | |
| (360) 779-7800 | |
| (360) 779-7060 |
| Full Name | Liberty Bay Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 19740 7th Ave Ne # 9, Poulsbo, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922290279 | NPI | - | NPPES |
| 0188295 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Charles T Dewilde |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538253026 PECOS PAC ID: 1355333287 Enrollment ID: I20040413001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Bay Chiropractic 19740 7th Ave Ne # 9, Poulsbo, WA 98370-7571 Ph: (360) 779-7800 | Liberty Bay Chiropractic 19740 7th Ave Ne # 9, Poulsbo, WA 98370-7571 Ph: (360) 779-7800 |
Dr. Grant Edward Taylor, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 21222 Viking Way Nw, Poulsbo, WA 98370 Phone: 360-779-7923 Fax: 360-779-9124 | |
Dr. Craig A Benson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 17791 Fjord Dr Ne, Ste 214, Poulsbo, WA 98370 Phone: 360-779-9957 Fax: 360-779-5848 | |
Grant Taylor Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21222 Viking Way Nw, Poulsbo, WA 98370 Phone: 360-779-7923 Fax: 360-779-9124 | |
Blake Joseph Wagner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21505 Market Pl Nw, Suite 102, Poulsbo, WA 98370 Phone: 360-598-3143 Fax: 360-598-4172 | |
Cassidy Alyson Mccrea, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 19740 7th Ave Ne Ste 100, Poulsbo, WA 98370 Phone: 360-779-7800 | |
Aparadocs Clinic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21222 Viking Way Nw, Poulsbo, WA 98370 Phone: 360-779-7923 Fax: 360-779-9124 | |
Dr. James Thomas Ryan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19425 7th Ave Ne Ste 103, Poulsbo, WA 98370 Phone: 360-394-2000 Fax: 800-403-8010 |