Mitchell Eugene Derrick in Olympia - Chiropractor
Mitchell Eugene Derrick - NPI 1265527154
Mitchell Eugene Derrick is a Chiropractor in Olympia, Washington. Mitchell Eugene Derrick practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mitchell Eugene Derrick is 1265527154. The last update date is 2008-10-15.
Mitchell Eugene Derrick's current location address is 3535 Martin Way E., Olympia, Washington. You can contact this provider via phone number 3604386425 and fax number 3609239382. The mailing address for Mitchell Eugene Derrick is 3535 Martin Way E., Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Eugene Derrick |
|---|---|
| Address | 3535 Martin Way E., Olympia, Washington |
| Phone Number | 3604386425 |
| Fax Number | 3609239382 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1265527154 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-10-15 |
Provider Mailing Address Detail
| Address | 3535 Martin Way E. |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 98506 |
| Phone Number | 3604386425 |
| Fax Number | 3609239382 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0003132 |
|
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 |
|---|---|---|---|
| 101194/164269 | WA | DEPART. OF LI | |
| DE3088 | REGENCE/BLUE SHIELD | ||
| 2022028 | WA | -- | |
| 91-2132905 | WA | PREMERA/BLUE CROSS |
Post Comment/ Review Below
What is the Mitchell Eugene Derrick's 1265527154?
The Mitchell Eugene Derrick's NPI (National Provider Identifier) Number is 1265527154. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mitchell Eugene Derrick's physical address?
The Mitchell Eugene Derrick is physically located at 3535 Martin Way E., in the city of Olympia, WA, with the postal code 98506.
What is Mitchell Eugene Derrick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mitchell Eugene Derrick is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date was the 1265527154 assigned to Mitchell Eugene Derrick?
The Mitchell Eugene Derrick was issued its 1265527154 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mitchell Eugene Derrick most recently updated or revised?
The information pertaining to Mitchell Eugene Derrick, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-15.
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