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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Massage Therapist |
225700000X | |||
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI Number | 1720307382 |
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| LBN Legal business name | ELLENSBURG CHIROPRACTIC,PS | ||||
| Authorized official | GARY FAVERO - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/21/2010 | ||||
| Last updated | 03/28/2012 - About 14 years ago | ||||
| Identifiers |
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ELLENSBURG CHIROPRACTIC,PS
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