Swendsen Chiropractic Clinic, P.s. | |
1011 E Main St, Suite 201, Puyallup, WA 98372 | |
(253) 845-2013 | |
Not Available |
Full Name | Swendsen Chiropractic Clinic, P.s. |
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Type | Facility |
Speciality | Chiropractor |
Location | 1011 E Main St, Puyallup, 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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1740492693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH00001816 (Washington) | Primary |
Provider Name | Justin Andrew Bergstrom |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740590884 PECOS PAC ID: 7315135886 Enrollment ID: I20101228000391 |
Provider Name | Todd A Bergstrom |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598006397 PECOS PAC ID: 7517103294 Enrollment ID: I20130425000229 |
Mailing Address | Practice Location Address |
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Swendsen Chiropractic Clinic, P.s. 1011 E Main St, Suite 201, Puyallup, WA 98372 Ph: (253) 845-2013 | Swendsen Chiropractic Clinic, P.s. 1011 E Main St, Suite 201, Puyallup, WA 98372 Ph: (253) 845-2013 |
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