Westenhaver Chiropractic Clinic | |
7127 196th St Sw Suite 101, Lynnwood, WA 98036-5078 | |
(425) 775-6986 | |
(425) 774-3651 |
Full Name | Westenhaver Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 7127 196th St Sw Suite 101, 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 |
---|---|---|---|
1194997098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH00001933 (Washington) | Primary |
Provider Name | Ty C Westenhaver |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073571501 PECOS PAC ID: 8022908813 Enrollment ID: I20120227000462 |
Mailing Address | Practice Location Address |
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Westenhaver Chiropractic Clinic 7127 196th St Sw Suite 101, Lynnwood, WA 98036-5078 Ph: (425) 775-6986 | Westenhaver Chiropractic Clinic 7127 196th St Sw Suite 101, Lynnwood, WA 98036-5078 Ph: (425) 775-6986 |
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