Fairwood Chiropractic Clinic

LBN: Fairwood Chiropractic Clinic
Fairwood Chiropractic Clinic is an health care organization with primary practice located at 14410 Se Petrovitsky Rd Ste 109, Renton WA 98058-8900. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Fairwood Chiropractic Clinic can be contacted via phone (425) 226-1856, or through Ryan, Steven Thomas via phone (425) 226-1856.

Contact Information

Primary practice address
14410 Se Petrovitsky Rd Ste 109 Renton WA 98058-8900
Phone: (425) 226-1856
Fax: (425) 226-0231
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Steven Thomas Doctor of Chiropractic (DC)
Phone: (425) 226-1856

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00001828 Washington

Profile Details

NPI number 1558586487
LBN Legal business name Fairwood Chiropractic Clinic
DBA Doing business as
Authorized official Ryan, Steven Thomas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 24th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558586487 NPPES
Other P00070121 RAILROAD MEDICARE
Other 122123 RAILROAD MEDICARE

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