Shepherd Family Chiropractic Pllc | |
1500 Westlake Ave N Ste 118 Seattle WA 98109-3036 | |
(206) 691-1800 | |
(206) 691-1810 |
Full Name | Shepherd Family Chiropractic Pllc |
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Speciality | Clinic/Center |
Location | 1500 Westlake Ave N Ste 118, Seattle, Washington |
Authorized Official Name and Position | Edwin Shepherd (MANAGING MEMBER) |
Authorized Official Contact | 2066911800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shepherd Family Chiropractic Pllc 1500 Westlake Ave N Ste 118 Seattle WA 98109-3036 Ph: (206) 691-1800 | Shepherd Family Chiropractic Pllc 1500 Westlake Ave N Ste 118 Seattle WA 98109-3036 Ph: (206) 691-1800 |
NPI Number | 1205489267 |
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Provider Enumeration Date | 07/18/2019 |
Last Update Date | 07/18/2019 |
Medicare PECOS PAC ID | 9335479484 |
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Medicare Enrollment ID | O20191002003404 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205489267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Edwin Shepherd |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629073515 PECOS PAC ID: 5698710614 Enrollment ID: I20130812000851 |
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