| Pain Treatment & Wellness Center Pc. | |
|
2445 4th Ave S Ste 112 Seattle WA 98134-1939 | |
| (206) 467-7202 | |
| (206) 622-0616 |
| Full Name | Pain Treatment & Wellness Center Pc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2445 4th Ave S Ste 112, Seattle, Washington |
| Authorized Official Name and Position | Alex Selinsky (PRESIDENT) |
| Authorized Official Contact | 2064677202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Treatment & Wellness Center Pc. 2445 4th Ave S Ste 112 Seattle WA 98134-1939 Ph: (206) 467-7202 | Pain Treatment & Wellness Center Pc. 2445 4th Ave S Ste 112 Seattle WA 98134-1939 Ph: (206) 467-7202 |
| NPI Number | 1225223258 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 4486876364 |
|---|---|
| Medicare Enrollment ID | O20141108000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225223258 | NPI | - | NPPES |
| GAB20582 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00002314 (Washington) | Primary |
| Provider Name | Alex Selinsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477683837 PECOS PAC ID: 2961622931 Enrollment ID: I20140926000001 |
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