| Pullman Chiropractic Clinic | |
|
1125 Nw Nye St Suite C Pullman WA 99163-3430 | |
| (509) 332-2225 | |
| (509) 332-2228 |
| Full Name | Pullman Chiropractic Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 Nw Nye St, Pullman, Washington |
| Authorized Official Name and Position | Chris D Volk (OFFICE MANAGER) |
| Authorized Official Contact | 5093322225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pullman Chiropractic Clinic 1125 Nw Nye St Suite C Pullman WA 99163-3430 Ph: (509) 332-2225 | Pullman Chiropractic Clinic 1125 Nw Nye St Suite C Pullman WA 99163-3430 Ph: (509) 332-2225 |
| NPI Number | 1174712095 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 3577651744 |
|---|---|
| Medicare Enrollment ID | O20071121000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174712095 | NPI | - | NPPES |
| GAB21380 | Other | WA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH00033991 (Washington) | Primary |
| Provider Name | Melody A Volk |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306826649 PECOS PAC ID: 4880782077 Enrollment ID: I20071126000134 |
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