Johnson Chiropractic Clinic Ps Inc | |
3721 Kitsap Way Ste 8 Bremerton WA 98312-2461 | |
(360) 377-3751 | |
(360) 377-3752 |
Full Name | Johnson Chiropractic Clinic Ps Inc |
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Speciality | Clinic/Center |
Location | 3721 Kitsap Way Ste 8, Bremerton, Washington |
Authorized Official Name and Position | Paul Kenneth Patterson (OWNER) |
Authorized Official Contact | 3603773751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnson Chiropractic Clinic Ps Inc 3721 Kitsap Way Ste 8 Bremerton WA 98312-2461 Ph: (360) 377-3751 | Johnson Chiropractic Clinic Ps Inc 3721 Kitsap Way Ste 8 Bremerton WA 98312-2461 Ph: (360) 377-3751 |
NPI Number | 1063784064 |
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Provider Enumeration Date | 02/06/2012 |
Last Update Date | 09/25/2023 |
Medicare PECOS PAC ID | 8426218470 |
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Medicare Enrollment ID | O20120328000650 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063784064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Paul Kenneth Patterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730228875 PECOS PAC ID: 6800040692 Enrollment ID: I20130201000273 |
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