| Fife Chiropractic | |
|
4505 Pacific Hwy E Suite B-1 Fife WA 98424-2638 | |
| (253) 922-0450 | |
| (253) 926-1720 |
| Full Name | Fife Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4505 Pacific Hwy E, Fife, Washington |
| Authorized Official Name and Position | Justin Gene Blair (MANAGER) |
| Authorized Official Contact | 2539220450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fife Chiropractic 4505 Pacific Hwy E Suite B-1 Fife WA 98424-2638 Ph: (253) 922-0450 | Fife Chiropractic 4505 Pacific Hwy E Suite B-1 Fife WA 98424-2638 Ph: (253) 922-0450 |
| NPI Number | 1508149097 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 01/26/2012 |
| Medicare PECOS PAC ID | 1052588555 |
|---|---|
| Medicare Enrollment ID | O20120124000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508149097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
| Provider Name | Sean M Flaherty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154474708 PECOS PAC ID: 2961417928 Enrollment ID: I20060213000166 |
| Provider Name | Christine H Blair |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215118054 PECOS PAC ID: 3870760374 Enrollment ID: I20120804000138 |
| Provider Name | Justin G Blair |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063844462 PECOS PAC ID: 6406081546 Enrollment ID: I20131028000807 |
| Provider Name | Shamika A Cordis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457642936 PECOS PAC ID: 1456598861 Enrollment ID: I20160316000988 |
| Provider Name | Tracy Lynn Foley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891968970 PECOS PAC ID: 5991976789 Enrollment ID: I20200115002394 |
| Provider Name | Thad Christopher Betzold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851789341 PECOS PAC ID: 1052637147 Enrollment ID: I20231212003976 |
Complete Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6328 40th St E, Fife, WA 98424 Phone: 253-222-8747 | |
Occupational Medical Clinic Of Tacoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4703 Pacific Hwy E, Fife, WA 98424 Phone: 253-922-9520 |