| Family Chiropractic | |
|
11027 Se Kent Kangley Rd Kent WA 98030-7205 | |
| (253) 630-9395 | |
| (253) 639-2219 |
| Full Name | Family Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11027 Se Kent Kangley Rd, Kent, Washington |
| Authorized Official Name and Position | John A Wood (DOCTOR/CHIROPRACTOR) |
| Authorized Official Contact | 2536309395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chiropractic 11027 Se Kent Kangley Rd Kent WA 98030-7205 Ph: (253) 630-9395 | Family Chiropractic 11027 Se Kent Kangley Rd Kent WA 98030-7205 Ph: (253) 630-9395 |
| NPI Number | 1811170442 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 8123915923 |
|---|---|
| Medicare Enrollment ID | O20040304000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811170442 | NPI | - | NPPES |
| 2012235 | Medicaid | WA | |
| 8405029 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2460 (Washington) | Primary |
| Provider Name | John A Wood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720113970 PECOS PAC ID: 2567359367 Enrollment ID: I20090803000187 |
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