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23403 E Mission Ave Ste 228 Liberty Lake WA 99019-7553 | |
| (509) 645-2721 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 23403 E Mission Ave Ste 228, Liberty Lake, Washington |
| Authorized Official Name and Position | Sylvia Tripp (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Contact | 5096452721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2005 N Hodges Ln Spokane Valley WA 99016-8586 Ph: (206) 265-0329 | 23403 E Mission Ave Ste 228 Liberty Lake WA 99019-7553 Ph: (509) 645-2721 |
| NPI Number | 1801665567 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 11/11/2024 |
| Medicare PECOS PAC ID | 8224571872 |
|---|---|
| Medicare Enrollment ID | O20241022004837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801665567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sylvia A Tripp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083086086 PECOS PAC ID: 2769782036 Enrollment ID: I20151118003050 |
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