Summit Family Chiropractic, Pllc | |
2109 196th St Sw Ste 1, Lynnwood, WA 98036-3800 | |
(425) 775-9914 | |
Not Available |
Full Name | Summit Family Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2109 196th St Sw Ste 1, 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 |
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1730232059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH00034112 (Washington) | Primary |
Provider Name | Misty R Gargan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396898607 PECOS PAC ID: 2062476807 Enrollment ID: I20041116000586 |
Provider Name | Andrew G Shannahan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912050212 PECOS PAC ID: 1052375896 Enrollment ID: I20041116000683 |
Mailing Address | Practice Location Address |
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Summit Family Chiropractic, Pllc 13005 E Gibson Rd Apt T336, Everett, WA 98204-5363 Ph: (425) 775-9914 | Summit Family Chiropractic, Pllc 2109 196th St Sw Ste 1, Lynnwood, WA 98036-3800 Ph: (425) 775-9914 |
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