Kirk W Petheram in Bainbridge Island - Chiropractor
Kirk W Petheram - NPI 1770613580
Kirk W Petheram is a Chiropractor in Bainbridge Island, Washington. Kirk W Petheram practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kirk W Petheram is 1770613580. The last update date is 2012-01-12.
Kirk W Petheram's current location address is 701 Winslow Way E Ste B, Bainbridge Island, Washington. You can contact this provider via phone number 2068422702. The mailing address for Kirk W Petheram is 701 Winslow Way E Ste B, Bainbridge Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk W Petheram |
|---|---|
| Address | 701 Winslow Way E Ste B, Bainbridge Island, Washington |
| Phone Number | 2068422702 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1770613580 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 701 Winslow Way E Ste B |
|---|---|
| City | Bainbridge Island |
| State | Washington (WA) |
| Post Code | 981102416 |
| Phone Number | 2068422702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3554 |
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Definition: 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 inte |
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What is the unique identification code assigned to Kirk W Petheram by the Centers for Medicare & Medicaid Services?
The Kirk W Petheram has been issued the NPI (National Provider Identifier) 1770613580. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kirk W Petheram's facilities are geographically located?
The facilities of Kirk W Petheram are physically situated at the following location: 701 Winslow Way E Ste B, Bainbridge Island, WA, 981102416.
What is the area of specialization for Kirk W Petheram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kirk W Petheram is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770613580 to Kirk W Petheram?
The Centers for Medicare & Medicaid Services originally issued the 1770613580 to Kirk W Petheram on 2007-03-07.
As of what date were the details related to Kirk W Petheram most recently updated or revised?
The information pertaining to Kirk W Petheram, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-12.