Micah Scott Neill, CH61257678 | |
15 Sw Everett Mall Way, Everett, WA 98204-2715 | |
(425) 355-5222 | |
Not Available |
Full Name | Micah Scott Neill |
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Gender | Male |
Speciality | Chiropractor |
Location | 15 Sw Everett Mall Way, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811648272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH61257678 (Washington) | Primary |
Provider Name | Functional Health Consulting Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871801522 PECOS PAC ID: 1759560709 Enrollment ID: O20110124000928 |
Mailing Address | Practice Location Address |
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Micah Scott Neill, CH61257678 15 Sw Everett Mall Way, Everett, WA 98204-2715 Ph: (425) 355-5222 | Micah Scott Neill, CH61257678 15 Sw Everett Mall Way, Everett, WA 98204-2715 Ph: (425) 355-5222 |
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