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113 S 11th St, Mount Vernon, WA 98274-4025 | |
| (360) 488-2123 | |
| (360) 404-3906 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 113 S 11th St, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235594516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Washington) | Primary |
| Provider Name | Jamie L Southard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487655635 PECOS PAC ID: 9739368176 Enrollment ID: I20110201000055 |
| Mailing Address | Practice Location Address |
|---|---|
113 S 11th St, Mount Vernon, WA 98274-4025 Ph: (360) 488-2123 | 113 S 11th St, Mount Vernon, WA 98274-4025 Ph: (360) 488-2123 |
Mr. James G Caviezel, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 E Division, Mount Vernon, WA 98274 Phone: 360-336-6547 Fax: 360-336-1503 | |
Country Chiropractic Clinic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 22790 Buchanan St, Mount Vernon, WA 98273 Phone: 360-856-5562 Fax: 360-856-4923 | |
Avery Nicholas Martin, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22790 Buchanan Street, Mount Vernon, WA 98273 Phone: 360-856-5562 Fax: 360-856-4923 | |
Dr. Cheryl Lynn Schmitt, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 600 N 4th Street, Mount Vernon, WA 98273 Phone: 360-848-6755 Fax: 360-989-3997 | |
Ronald W Burden, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 E Division, Mount Vernon, WA 98274 Phone: 360-336-6547 Fax: 360-336-1503 |