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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 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
Indicates primary specialty

NPI Profile & details for ELLENSBURG CHIROPRACTIC,PS

NPI Number 1720307382
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
WA License # MD00047820
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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