| Riverwalk Family Chiropractic, Pllc | |
|
100 E 9th St Wenatchee WA 98801-1505 | |
| (509) 888-1099 | |
| (509) 888-2068 |
| Full Name | Riverwalk Family Chiropractic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 E 9th St, Wenatchee, Washington |
| Authorized Official Name and Position | Thomas G Koch (OWNER) |
| Authorized Official Contact | 5094332225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwalk Family Chiropractic, Pllc 100 E 9th St Wenatchee WA 98801-1505 Ph: (509) 888-1099 | Riverwalk Family Chiropractic, Pllc 100 E 9th St Wenatchee WA 98801-1505 Ph: (509) 888-1099 |
| NPI Number | 1083089387 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Medicare PECOS PAC ID | 8426347352 |
|---|---|
| Medicare Enrollment ID | O20160517001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 603554608 (Washington) | Primary |
| Provider Name | Thomas G Koch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285827576 PECOS PAC ID: 5597857979 Enrollment ID: I20070815000869 |
| Provider Name | Andria Lyn Love Goff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144518309 PECOS PAC ID: 4587947858 Enrollment ID: I20170210001754 |
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