| Pacific Chiropractic Clinic Pllc | |
|
7503 196th St Sw, Lynnwood, WA 98036-5079 | |
| (425) 775-8000 | |
| (425) 775-8221 |
| Full Name | Pacific Chiropractic Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7503 196th St Sw, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265576573 | NPI | - | NPPES |
| 72790 | Other | WA | DEPT OF LABOR |
| 12905 | Other | WA | AWHN |
| R21556 | Other | WA | REGENCE BLUE SHIELD |
| 13665 | Other | WA | AWHN |
| R74350 | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Brian T Ohea |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215905013 PECOS PAC ID: 5395799175 Enrollment ID: I20060426000120 |
| Provider Name | Susan K Felber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437262789 PECOS PAC ID: 9537179536 Enrollment ID: I20060504000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Chiropractic Clinic Pllc 7503 196th St Sw, Lynnwood, WA 98036-5079 Ph: (425) 775-8000 | Pacific Chiropractic Clinic Pllc 7503 196th St Sw, Lynnwood, WA 98036-5079 Ph: (425) 775-8000 |
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Dr. Mark S Fredrich, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20015 Hwy 99, Ste A, Lynnwood, WA 98036 Phone: 425-771-2225 Fax: 425-670-8121 | |
Robert Steven Kreutz Jr., B.S., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13619 Mukilteo Speedway Ste B4, Lynnwood, WA 98087 Phone: 425-353-1011 Fax: 425-353-1033 | |
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