Advanced Chiropractic Centre Corp in Vancouver - Sports Physician
Advanced Chiropractic Centre Corp - NPI 1710032057
Advanced Chiropractic Centre Corp is a Sports Physician in Vancouver, Washington. Advanced Chiropractic Centre Corp practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Advanced Chiropractic Centre Corp is 1710032057. The last update date is 2020-08-22.
Advanced Chiropractic Centre Corp's current location address is 705 Se Park Crest Ave., Ste A120, Vancouver, Washington. You can contact this provider via phone number 3608923654 and fax number 3608923692. The mailing address for Advanced Chiropractic Centre Corp is 705 Se Park Crest Ave., Ste A120, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Chiropractic Centre Corp |
|---|---|
| Address | 705 Se Park Crest Ave., Ste A120, Vancouver, Washington |
| Phone Number | 3608923654 |
| Fax Number | 3608923692 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wasilenkoff Lee Larry |
| Credentials | D.C |
| Telephone Number | 3608923654 |
NPI Number Detail
| NPI Number | 1710032057 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 705 Se Park Crest Ave., Ste A120 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986831303 |
| Phone Number | 3608923654 |
| Fax Number | 3608923692 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH00003418 |
|
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) |
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What is the unique 10-digit identification code assigned to Advanced Chiropractic Centre Corp by the Centers for Medicare & Medicaid Services?
The Advanced Chiropractic Centre Corp has been issued the NPI (National Provider Identifier) 1710032057, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Advanced Chiropractic Centre Corp's facilities are situated?
The facilities of Advanced Chiropractic Centre Corp are physically located at the following address: 705 Se Park Crest Ave., Ste A120, Vancouver, WA, 986831303.
What is Advanced Chiropractic Centre Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Advanced Chiropractic Centre Corp's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
When was the Advanced Chiropractic Centre Corp's 1710032057 issued?
The Advanced Chiropractic Centre Corp's 1710032057 was issued on 2007-01-25.
When was the information related to Advanced Chiropractic Centre Corp most recently updated or refreshed?
The details pertaining to the Advanced Chiropractic Centre Corp, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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