Sky Boulom is a Chiropractor in Lynnwood, Washington. Sky Boulom practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sky Boulom is 1245459718. The last update date is 2018-03-17.
Sky Boulom's current location address is 15608 18th Pl W, Lynnwood, Washington. You can contact this provider via phone number 4257738553. The mailing address for Sky Boulom is 15608 18th Pl W, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sky Boulom |
|---|---|
| Address | 15608 18th Pl W, Lynnwood, Washington |
| Phone Number | 4257738553 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1245459718 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 15608 18th Pl W |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980878800 |
| Phone Number | 4257738553 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00003526 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252664 | WA | LABOR & INDUSTRIES |
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What is the Sky Boulom's 1245459718?
The Sky Boulom's NPI (National Provider Identifier) Number is 1245459718. 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 Sky Boulom is physically located?
The Sky Boulom is physically situated at the following address: 15608 18Th Pl W, Lynnwood, WA, 980878800.
What is Sky Boulom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sky Boulom is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245459718 to Sky Boulom?
The Sky Boulom received its 1245459718 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the Sky Boulom's information last updated?
The Sky Boulom's information was last updated on 2018-03-17.
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