| 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 - Primary Care |
| Location | 26708 180th Ave Se, Covington, Washington |
| Authorized Official Name and Position | Neal Booher Vitalis (OWNER) |
| Authorized Official Contact | 2536309777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538400031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CH00002179 (Washington) | Primary |
Puget Sound Pain Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17615 Se 272nd St Ste 109, Covington, WA 98042 Phone: 253-983-9390 Fax: 253-983-0066 |