| Northwest Family Chiropractic Pc | |
|
17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | |
| (253) 848-6603 | |
| (253) 445-9430 |
| Full Name | Northwest Family Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17615 85th Avenue Ct E, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689728610 | NPI | - | NPPES |
| 601879408 | Other | WA | WA UBI# |
| 2705 | Other | WA | WA CHIRO LICENSE |
| H04731 | Other | WA | REGENCE |
| LNI | Other | WA | LNI PROVIDER # |
| 350050140 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2705 (Washington) | Primary |
| Provider Name | Jeffrey L Holmes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366555765 PECOS PAC ID: 2567459951 Enrollment ID: I20040428000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Chiropractic Pc 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 Ph: (253) 848-6603 | Northwest Family Chiropractic Pc 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 Ph: (253) 848-6603 |
Dr. Kimberly Anne Williamson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18710 Meridian E Ste 117, Puyallup, WA 98375 Phone: 253-875-9464 | |
Dr. Kevin Michael Earle, DC, CCEP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10202 149th St E, Suite 101b, Puyallup, WA 98374 Phone: 253-445-0440 Fax: 253-445-0444 | |
Nordquist Integrated Medicine Chiropractor Medicare: Medicare Enrolled Practice Location: 9909 168th St E Ste 102, Puyallup, WA 98375 Phone: 253-445-3000 | |
Neal Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14001 Meridian E, Puyallup, WA 98373 Phone: 253-841-1344 | |
Mr. Danny David Baldwin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6223 112th St E, Puyallup, WA 98373 Phone: 253-286-2211 Fax: 253-286-2152 | |
Vision Quest Chiropractic Puyallup Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 13333 Meridian E, Ste H, Puyallup, WA 98373 Phone: 253-200-4401 Fax: 253-200-4402 | |
Daniel J Klein, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12515 Meridian E, Ste. 201, Puyallup, WA 98373 Phone: 253-841-4457 Fax: 253-841-8526 |