Clanton, Tim A

Clanton, Tim A is an sole proprietor health care provider with primary practice located at 13030 121St Way Ne Suite 102, Kirkland WA 98034-7210. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clanton, Tim A can be contacted via phone (425) 814-2800.

Contact Information

Primary practice address
13030 121St Way Ne Suite 102 Kirkland WA 98034-7210
Phone: (425) 814-2800
Fax: (425) 823-0882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00034011 Washington

Profile Details

NPI number 1174516231
LBN Legal business name Clanton, Tim A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Feb 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174516231 NPPES
Other 4011CL REGENCE BLUE SHIELD
Other 192264900 REGENCE BLUE SHIELD
MEDICAID 8423345 REGENCE BLUE SHIELD
Other 0189969 REGENCE BLUE SHIELD

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