| Nexus Chiropractic, Inc | |
|
7809 Ne 94th Ave Vancouver WA 98662-2946 | |
| (360) 606-2502 | |
| Not Available |
| Full Name | Nexus Chiropractic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7809 Ne 94th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Janell Chandler (PRESIDENT) |
| Authorized Official Contact | 3609441800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Chiropractic, Inc 12214 Se Mill Plain Blvd Suite 101 Vancouver WA 98684-6019 Ph: (360) 606-2502 | Nexus Chiropractic, Inc 7809 Ne 94th Ave Vancouver WA 98662-2946 Ph: (360) 606-2502 |
| NPI Number | 1366856957 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 3476772609 |
|---|---|
| Medicare Enrollment ID | O20140919001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366856957 | NPI | - | NPPES |
| 1114065729 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00034459 (Washington) | Primary |
| Provider Name | Janell S Chandler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114065729 PECOS PAC ID: 1557580784 Enrollment ID: I20140919001338 |
| Provider Name | Robin P Retzlaff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467155192 PECOS PAC ID: 0345605804 Enrollment ID: I20230505000975 |
| Provider Name | Lacy Dillon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740836394 PECOS PAC ID: 4284080854 Enrollment ID: I20231102002037 |
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