Keane Joseph Bagby in Renton - Chiropractor

Keane Joseph Bagby - NPI 1093893489

Keane Joseph Bagby is a Chiropractor in Renton, Washington. Keane Joseph Bagby practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Keane Joseph Bagby is 1093893489. The last update date is 2014-02-04.

Keane Joseph Bagby's current location address is 435 Sw 41st St, Renton, Washington. You can contact this provider via phone number 4252519770 and fax number 4252519846. The mailing address for Keane Joseph Bagby is 435 Sw 41st St, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Keane Joseph Bagby
Address 435 Sw 41st St, Renton, Washington
Phone Number 4252519770
Fax Number 4252519846
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1093893489
Provider Enumeration Date 2006-11-01
Last Updated Date 2014-02-04

Provider Mailing Address Detail

Address 435 Sw 41st St
City Renton
State Washington (WA)
Post Code 980574926
Phone Number 4252519770
Fax Number 4252519846

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH000001865
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
BA3849 WA REGENCE
24854 WA LABOR & INDUSTRIES

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FAQs about Keane Joseph Bagby

What is the Keane Joseph Bagby's 1093893489?

The Keane Joseph Bagby's NPI (National Provider Identifier) Number is 1093893489. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Keane Joseph Bagby is physically located?

The Keane Joseph Bagby is physically situated at the following address: 435 Sw 41St St, Renton, WA, 980574926.

What is the Keane Joseph Bagby's area of specialization and corresponding taxonomy classification?

The Keane Joseph Bagby's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1093893489 to Keane Joseph Bagby?

The Keane Joseph Bagby received its 1093893489 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the information regarding Keane Joseph Bagby, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Keane Joseph Bagby, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-04.

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