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Contact Information

OCEAN BEACH CHIROPRACTIC PS
167 FIRST AVENUE, NORTH
ILWACO, WA98624
 Phone: 360-642-2474
 Fax: 360-642-2363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for OCEAN BEACH CHIROPRACTIC PS

NPI Number 1639396203
LBN Legal business name OCEAN BEACH CHIROPRACTIC PS
Authorized official MATTHEW REILLY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 08/01/2007 - About 19 years ago
Identifiers
WA License # CH00034693
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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