| Chewelah Family Chiropractic | |
|
301 E Clay Ave Ste 219 Chewelah WA 99109-8936 | |
| (509) 936-6822 | |
| (509) 936-4885 |
| Full Name | Chewelah Family Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 E Clay Ave Ste 219, Chewelah, Washington |
| Authorized Official Name and Position | Bradley David Haslam (OWNER/DOCTOR) |
| Authorized Official Contact | 5099356822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chewelah Family Chiropractic Po Box 1133 301 E. Clay Ave Suite 219 Chewelah WA 99109-1133 Ph: (509) 935-6822 | Chewelah Family Chiropractic 301 E Clay Ave Ste 219 Chewelah WA 99109-8936 Ph: (509) 936-6822 |
| NPI Number | 1275999740 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092089946 |
|---|---|
| Medicare Enrollment ID | O20170915003335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275999740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH-60404828 (Washington) | Primary |
| Provider Name | Bradley David Haslam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861827503 PECOS PAC ID: 3971734393 Enrollment ID: I20140328001031 |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Associated Physicians Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Community Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Providence Physician Services Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Webster Ave, Chewelah, WA 99109 Phone: 509-935-8211 | |
Chewelah Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Clay Ave, Suite 219, Chewelah, WA 99109 Phone: 509-935-6822 Fax: 509-935-4885 |