| Family Chiropractic Wellness Center Llc | |
|
110 Columbia Point Dr Richland WA 99352-4387 | |
| (509) 946-7692 | |
| (509) 943-8639 |
| Full Name | Family Chiropractic Wellness Center Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 110 Columbia Point Dr, Richland, Washington |
| Authorized Official Name and Position | Angela Lorraine Sullivan (CHIROPRACTOR) |
| Authorized Official Contact | 5099467692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chiropractic Wellness Center Llc 110 Columbia Point Dr Richland WA 99352-4387 Ph: (509) 946-7692 | Family Chiropractic Wellness Center Llc 110 Columbia Point Dr Richland WA 99352-4387 Ph: (509) 946-7692 |
| NPI Number | 1427221308 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 08/06/2015 |
| Medicare PECOS PAC ID | 1456428218 |
|---|---|
| Medicare Enrollment ID | O20080919000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427221308 | NPI | - | NPPES |
| Provider Name | Angela L Sullivan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396720835 PECOS PAC ID: 5698797280 Enrollment ID: I20051223000041 |
| Provider Name | Lynn D Lundrigan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699871475 PECOS PAC ID: 3779763784 Enrollment ID: I20110208001012 |
| Provider Name | Zachery M Young |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922627892 PECOS PAC ID: 9638594062 Enrollment ID: I20200807002530 |
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