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Contact Information

GERALD T BRADY CHIROPRACTIC PROFESSIONAL CORP
119 VILLAGE WAY
PORT LUDLOW, WA98365
 Phone: 360-437-8008
 Fax: 360-437-0406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GERALD T BRADY CHIROPRACTIC PROFESSIONAL CORP

NPI Number 1316134919
LBN Legal business name GERALD T BRADY CHIROPRACTIC PROFESSIONAL CORP
Authorized official GERALD BRADY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2007
Last updated 04/13/2011 - About 15 years ago
Identifiers
WA License # CH00002344
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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