Back In Motion Chiropractic P.C. in Olympia - Chiropractor
Back In Motion Chiropractic P.C. - NPI 1184828618
Back In Motion Chiropractic P.C. is a Chiropractor in Olympia, Washington. Back In Motion Chiropractic P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back In Motion Chiropractic P.C. is 1184828618. The last update date is 2008-06-18.
Back In Motion Chiropractic P.C.'s current location address is 1115 Black Lake Blvd Sw Ste A, Olympia, Washington. You can contact this provider via phone number 3603577585 and fax number 3602360649. The mailing address for Back In Motion Chiropractic P.C. is 1115 Black Lake Blvd Sw Ste A, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back In Motion Chiropractic P.C. |
|---|---|
| Address | 1115 Black Lake Blvd Sw Ste A, Olympia, Washington |
| Phone Number | 3603577585 |
| Fax Number | 3602360649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Soran Michael Donald |
| Credentials | D.C. |
| Telephone Number | 3603577585 |
NPI Number Detail
| NPI Number | 1184828618 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 1115 Black Lake Blvd Sw Ste A |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985021026 |
| Phone Number | 3603577585 |
| Fax Number | 3602360649 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00003654 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125645 | WA | GROUP L&I | |
| CH00003654 | WA | STATE LICENCE | |
| 125644 | WA | INDAVIDUAL L&I |
Post Comment/ Review Below
What is the Back In Motion Chiropractic P.C.'s 1184828618?
The Back In Motion Chiropractic P.C.'s NPI (National Provider Identifier) Number is 1184828618. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Back In Motion Chiropractic P.C. is physically located?
The Back In Motion Chiropractic P.C. is situated at the following address: 1115 Black Lake Blvd Sw Ste A, Olympia, WA 985021026.
What is Back In Motion Chiropractic P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Back In Motion Chiropractic P.C.'s area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184828618 to Back In Motion Chiropractic P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1184828618 to Back In Motion Chiropractic P.C. on 2007-06-11.
When was the Back In Motion Chiropractic P.C.'s information last updated?
The Back In Motion Chiropractic P.C.'s information was last updated on 2008-06-18.
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