| |
16201 25th Ave W Lynnwood WA 98087-2520 | |
(425) 712-9277 | |
(877) 898-0267 |
Full Name | |
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Speciality | Chiropractor |
Location | 16201 25th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Madison Allen (OWNER) |
Authorized Official Contact | 4254787554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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16201 25th Ave W Lynnwood WA 98087-2520 Ph: (425) 712-9277 | 16201 25th Ave W Lynnwood WA 98087-2520 Ph: (425) 712-9277 |
NPI Number | 1346827664 |
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Provider Enumeration Date | 03/24/2021 |
Last Update Date | 12/16/2024 |
Certification Date | 12/16/2024 |
Medicare PECOS PAC ID | 7810305869 |
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Medicare Enrollment ID | O20210413000803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346827664 | NPI | - | NPPES |
Provider Name | Madison Allen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063019966 PECOS PAC ID: 8729496773 Enrollment ID: I20210413000868 |
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