Iroc Ps in Wenatchee - Sports Physician

Iroc Ps - NPI 1235256918

Iroc Ps is a Sports Physician in Wenatchee, Washington. Iroc Ps practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Iroc Ps is 1235256918. The last update date is 2020-08-31.

Iroc Ps's current location address is 603 N Mission St, Wenatchee, Washington. You can contact this provider via phone number 5098844357 and fax number 5098884601. The mailing address for Iroc Ps is 603 N Mission St, Wenatchee, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Iroc Ps
Address 603 N Mission St, Wenatchee, Washington
Phone Number 5098844357
Fax Number 5098884601
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, CLI
Authorized Official Name Latimer Mark Wayne
Credentials DC
Telephone Number 5098844357

NPI Number Detail

NPI Number 1235256918
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-08-31

Provider Mailing Address Detail

Address 603 N Mission St
City Wenatchee
State Washington (WA)
Post Code 98801
Phone Number 5098844357
Fax Number 5098884601

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 3606
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD 00024041 WA DR. BATSON'S MED. LICENSE
1245394253 WA DR. BATSON'S NPI #
CH00000 3031 WA DR. LATIMER'S DC LICENSE
1679615678 WA DR. LATIMER'S NIP #

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FAQs about Iroc Ps

What is the unique provider identifier assigned to Iroc Ps?

The Iroc Ps has been issued the NPI (National Provider Identifier) 1235256918 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Iroc Ps's physical address?

The Iroc Ps is physically located at 603 N Mission St, in the city of Wenatchee, WA, with the postal code 98801.

What is the Iroc Ps's specialty and taxonomy code?

The Iroc Ps's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.

On what date did the Iroc Ps receive the assignment of its 1235256918 from the Centers for Medicare & Medicaid Services?

The Iroc Ps was issued its 1235256918 by the Centers for Medicare & Medicaid Services on 2007-03-26.

As of what date were the details pertaining to Iroc Ps last refreshed?

The information related to the Iroc Ps, including its address, specialty, and other relevant details, was last updated on 2020-08-31.

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