| Pettibon Chiropractic Clinic Of Federal Way Inc. | |
|
30804 Pacific Hwy S, Federal Way, WA 98003-4902 | |
| (253) 839-5644 | |
| (253) 839-2625 |
| Full Name | Pettibon Chiropractic Clinic Of Federal Way Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 30804 Pacific Hwy S, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134487846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 199010175600BL (Washington) | Primary |
| Provider Name | Sam L Pettibon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386860492 PECOS PAC ID: 3678721099 Enrollment ID: I20120910000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Pettibon Chiropractic Clinic Of Federal Way Inc. 30804 Pacific Hwy S, Federal Way, WA 98003-4902 Ph: (253) 839-5644 | Pettibon Chiropractic Clinic Of Federal Way Inc. 30804 Pacific Hwy S, Federal Way, WA 98003-4902 Ph: (253) 839-5644 |
Dr. Gregory Robert Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 33400 13th Pl S, Federal Way, WA 98003 Phone: 253-838-6070 Fax: 253-838-6069 | |
Joeviel Manzanilla, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1426 S 324th St Ste B115, Federal Way, WA 98003 Phone: 425-418-2880 | |
Dr. Michael Keith Bastron, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1010 S 336th Street Suite 120, Federal Way, WA 98003 Phone: 253-838-5385 Fax: 253-838-4540 | |
Dr. Kevin Allan Roemer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1107 S 347th Pl, Federal Way, WA 98003 Phone: 253-927-4500 | |
Dr. Michael K Kinnear, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 30821 Pacific Hwy S, Federal Way, WA 98003 Phone: 253-839-8608 Fax: 253-941-6821 | |
Dr. Edward H. Yee, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1107 S 347th Pl, Federal Way, WA 98003 Phone: 253-838-3777 Fax: 253-874-6874 | |
Garcia Family Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 S 305th Pl Ste C, Federal Way, WA 98003 Phone: 253-200-1989 |