| |
203 14th Ave E, Seattle, WA 98112-5223 | |
(206) 381-3473 | |
(206) 388-0913 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 203 14th Ave E, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912197203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | CH00002928 (Washington) | Primary |
Provider Name | Michael Pirak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710438262 PECOS PAC ID: 9133497779 Enrollment ID: I20170622001676 |
Mailing Address | Practice Location Address |
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203 14th Ave E, Seattle, WA 98112-5223 Ph: (206) 323-2225 | 203 14th Ave E, Seattle, WA 98112-5223 Ph: (206) 381-3473 |