Mr Marc Dewayne Hines, DC | |
12815 Canyon Rd E, Suite I, Puyallup, WA 98373-5786 | |
(253) 256-4769 | |
Not Available |
Full Name | Mr Marc Dewayne Hines |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 31 Years |
Location | 12815 Canyon Rd E, Puyallup, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710030358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00002989 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Chiropractic Rehabilitation Nw Inc | 6800227695 | 2 |
Provider Name | Genesis Chiropractic Rehabilitation Nw Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184897225 PECOS PAC ID: 8628979044 Enrollment ID: O20040119000443 |
Provider Name | Genesis Chiropractic Rehabilitation Nw Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184897225 PECOS PAC ID: 6800227695 Enrollment ID: O20200511003511 |
Mailing Address | Practice Location Address |
---|---|
Mr Marc Dewayne Hines, DC 12815 Canyon Rd E, Ste K, Puyallup, WA 98373-5104 Ph: (253) 256-4769 | Mr Marc Dewayne Hines, DC 12815 Canyon Rd E, Suite I, Puyallup, WA 98373-5786 Ph: (253) 256-4769 |
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