North Bend Chiropractic And Golf Fitness Center Pllc | |
325 East Third Street North Bend WA 98045 | |
(425) 888-3600 | |
Not Available |
Full Name | North Bend Chiropractic And Golf Fitness Center Pllc |
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Speciality | Clinic/Center |
Location | 325 East Third Street, North Bend, Washington |
Authorized Official Name and Position | Matthew D Miller (MEMBER) |
Authorized Official Contact | 4258883600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Bend Chiropractic And Golf Fitness Center Pllc Po Box 2630 North Bend WA 98045-2630 Ph: () - | North Bend Chiropractic And Golf Fitness Center Pllc 325 East Third Street North Bend WA 98045 Ph: (425) 888-3600 |
NPI Number | 1801053764 |
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Provider Enumeration Date | 05/19/2008 |
Last Update Date | 05/19/2008 |
Medicare PECOS PAC ID | 4587737549 |
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Medicare Enrollment ID | O20080724000035 |
Identifier | Type | State | Issuer |
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1801053764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | CH33805 (Washington) | Primary |
Provider Name | Matthew Miller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841360674 PECOS PAC ID: 2961575923 Enrollment ID: I20080724000023 |
Public Hospital District No 4 King County Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Sw Mt Si Blvd, North Bend, WA 98045 Phone: 425-831-2300 Fax: 425-831-2361 |