| Spokane Spine Center | |
|
124 E Rowan Ave Suite 202 Spokane WA 99207-1214 | |
| (509) 487-6222 | |
| (509) 487-6333 |
| Full Name | Spokane Spine Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 E Rowan Ave, Spokane, Washington |
| Authorized Official Name and Position | Robert G Haddad (CHIROPRACTOR/BUSINESS OWNER) |
| Authorized Official Contact | 5094876222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Spine Center 124 E Rowan Ave Suite 202 Spokane WA 99207-1214 Ph: (509) 487-6222 | Spokane Spine Center 124 E Rowan Ave Suite 202 Spokane WA 99207-1214 Ph: (509) 487-6222 |
| NPI Number | 1518167923 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 05/15/2020 |
| Medicare PECOS PAC ID | 8921149758 |
|---|---|
| Medicare Enrollment ID | O20091230000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518167923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | John F Long |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033149125 PECOS PAC ID: 2264415710 Enrollment ID: I20040608000280 |
| Provider Name | Robert G Haddad |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518063312 PECOS PAC ID: 0648294199 Enrollment ID: I20060201000125 |
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