National Provider Identifier Database

ELLENSBURG CHIROPRACTICPS
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ELLENSBURG CHIROPRACTIC,PS
109 S WATER ST
SUITE 2
ELLENSBURG, WA98926-3061
Phone: 509-962-2225
Fax: 509-962-2270
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Interventional Pain Medicine 208VP0014X
Massage Therapist 225700000X
Pain Medicine 207LP2900X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for ELLENSBURG CHIROPRACTIC,PS

NPI Number 1720307382
Legal business name
LBN
ELLENSBURG CHIROPRACTIC,PS
Authorized official GARY FAVERO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/21/2010
Last updated 03/28/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MD00047820

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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