| Dr. Brooke Coates Ps | |
|
2627 N 21st St Tacoma WA 98406-7517 | |
| (253) 756-9990 | |
| Not Available |
| Full Name | Dr. Brooke Coates Ps |
|---|---|
| Speciality | Clinic/Center |
| Location | 2627 N 21st St, Tacoma, Washington |
| Authorized Official Name and Position | Brooke Coates (OWNER) |
| Authorized Official Contact | 2537569990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brooke Coates Ps 2627 N 21st St Tacoma WA 98406-7517 Ph: (253) 756-9990 | Dr. Brooke Coates Ps 2627 N 21st St Tacoma WA 98406-7517 Ph: (253) 756-9990 |
| NPI Number | 1609069012 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 07/21/2008 |
| Medicare PECOS PAC ID | 7012901788 |
|---|---|
| Medicare Enrollment ID | O20040414000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609069012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00003199 (Washington) | Primary |
| Provider Name | Brooke Wheeler Coates |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750426706 PECOS PAC ID: 4082608757 Enrollment ID: I20101117000530 |
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