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16720 Redmond Way Suite E#3 Redmond WA 98052-4484 | |
(206) 719-5229 | |
(425) 968-5567 |
Full Name | |
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Speciality | Clinic/Center |
Location | 16720 Redmond Way, Redmond, Washington |
Authorized Official Name and Position | Jeffry Bowers (OWNER) |
Authorized Official Contact | 2067195229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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250 Market St Ste 102 Kirkland WA 98033-4811 Ph: (206) 719-5229 | 16720 Redmond Way Suite E#3 Redmond WA 98052-4484 Ph: (206) 719-5229 |
NPI Number | 1497404602 |
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Provider Enumeration Date | 03/23/2022 |
Last Update Date | 08/01/2024 |
Medicare PECOS PAC ID | 4284170143 |
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Medicare Enrollment ID | O20240726003186 |
Identifier | Type | State | Issuer |
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1497404602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeffry D Bowers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952460313 PECOS PAC ID: 5193718732 Enrollment ID: I20070717000064 |
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