Dr Thad Christopher Betzold, DC | |
2026 54th Ave E, Fife, WA 98424-1904 | |
(253) 922-0450 | |
(253) 926-1720 |
Full Name | Dr Thad Christopher Betzold |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2026 54th Ave E, Fife, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851789341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60860670 (Washington) | Primary |
111N00000X | Chiropractor | 6027 (Minnesota) | Secondary |
Provider Name | Cb Chiropractic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508149097 PECOS PAC ID: 1052588555 Enrollment ID: O20120124000991 |
Mailing Address | Practice Location Address |
---|---|
Dr Thad Christopher Betzold, DC 2026 54th Ave E, Fife, WA 98424-1904 Ph: (253) 922-0450 | Dr Thad Christopher Betzold, DC 2026 54th Ave E, Fife, WA 98424-1904 Ph: (253) 922-0450 |
Gary Robert Diel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1406 54th Ave E, Suite D, Fife, WA 98424 Phone: 253-304-5660 Fax: 206-497-8215 | |
Cherity Hooyman, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2026 54th Ave E, Fife, WA 98424 Phone: 253-922-0450 Fax: 253-926-1720 | |
Dr. Justin Gene Blair, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2026 54th Ave E, Fife, WA 98424 Phone: 253-922-0450 Fax: 253-926-1720 | |
Dr. Christine Helene Blair, D.C, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2026 54th Ave E, Fife, WA 98424 Phone: 253-922-0450 Fax: 253-926-1720 | |
Jessica Wilson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2026 54th Ave E, Fife, WA 98424 Phone: 253-922-0450 Fax: 253-926-1720 |