| Covington Chiropractic Llc | |
|
26708 180th Ave Se Suite102 Covington WA 98042-4969 | |
| (253) 630-9777 | |
| (253) 630-9806 |
| Full Name | Covington Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 26708 180th Ave Se, Covington, Washington |
| Authorized Official Name and Position | Neal Booher Vitalis (OWNER) |
| Authorized Official Contact | 2536309777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Chiropractic Llc 26708 180th Ave Se Suite102 Covington WA 98042-4969 Ph: (253) 630-9777 | Covington Chiropractic Llc 26708 180th Ave Se Suite102 Covington WA 98042-4969 Ph: (253) 630-9777 |
| NPI Number | 1538400031 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 1557508587 |
|---|---|
| Medicare Enrollment ID | O20130513000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538400031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CH00002179 (Washington) | Primary |
| Provider Name | Neal B Vitalis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528165628 PECOS PAC ID: 5799700746 Enrollment ID: I20051010000562 |
Public Hospital District #1 Of King County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16850 Se 272nd St, Covington, WA 98042 Phone: 253-395-1960 |