Pro-form Chiropractic And Sports Injury, Pllc | |
4500 9th Ave Ne Ste 300, Seattle, WA 98105-4762 | |
(203) 312-3894 | |
Not Available |
Full Name | Pro-form Chiropractic And Sports Injury, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4500 9th Ave Ne Ste 300, 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 |
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1871256180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Nicholas David Petrini |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770888588 PECOS PAC ID: 1951588979 Enrollment ID: I20160513001189 |
Mailing Address | Practice Location Address |
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Pro-form Chiropractic And Sports Injury, Pllc 5534 84th Dr Ne, Marysville, WA 98270-8509 Ph: (203) 312-3894 | Pro-form Chiropractic And Sports Injury, Pllc 4500 9th Ave Ne Ste 300, Seattle, WA 98105-4762 Ph: (203) 312-3894 |
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