| Hemphill Chiropractic Clinic, P.s. | |
|
18421 Highway 99 Ste G Lynnwood WA 98037-4457 | |
| (425) 214-1900 | |
| (425) 214-1919 |
| Full Name | Hemphill Chiropractic Clinic, P.s. |
|---|---|
| Speciality | Clinic/Center |
| Location | 18421 Highway 99, Lynnwood, Washington |
| Authorized Official Name and Position | Tony Karriem Hemphill (OWNER) |
| Authorized Official Contact | 4252141900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hemphill Chiropractic Clinic, P.s. 18421 Highway 99 Ste G Lynnwood WA 98037-4457 Ph: (425) 214-1900 | Hemphill Chiropractic Clinic, P.s. 18421 Highway 99 Ste G Lynnwood WA 98037-4457 Ph: (425) 214-1900 |
| NPI Number | 1316137839 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 04/13/2012 |
| Medicare PECOS PAC ID | 7719958586 |
|---|---|
| Medicare Enrollment ID | O20040804001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316137839 | NPI | - | NPPES |
| 2028470 | Medicaid | WA | |
| 1275699506 | Other | WA | NPI |
| 173024 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00034117 (Washington) | Primary |
| Provider Name | Tony K Hemphill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275699506 PECOS PAC ID: 5496738775 Enrollment ID: I20040609000365 |
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