| Dr Shannon Kaufman, DC | |
|
557 Roy St, Suite 100, Seattle, WA 98109-4219 | |
| (206) 285-1068 | |
| Not Available |
| Full Name | Dr Shannon Kaufman |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 557 Roy St, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104280650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH60631494 (Washington) | Primary |
| Provider Name | Corbin Chiropractic Clinic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598897050 PECOS PAC ID: 2365614641 Enrollment ID: O20111010000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Kaufman, DC 557 Roy St, Suite 100, Seattle, WA 98109-4219 Ph: (206) 285-1068 | Dr Shannon Kaufman, DC 557 Roy St, Suite 100, Seattle, WA 98109-4219 Ph: (206) 285-1068 |
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Washington Spine And Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 5401 Leary Ave Nw, Seattle, WA 98107 Phone: 206-582-3471 Fax: 206-582-3472 | |
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