Laycock, Charles M

Laycock, Charles M is an individual health care provider with primary practice located at 614 S 225Th St , Des Moines WA 98198-6843. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Laycock, Charles M can be contacted via phone (206) 878-2225.

Contact Information

Primary practice address
614 S 225Th St Des Moines WA 98198-6843
Fax: (206) 878-7488
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2398 Washington

Profile Details

NPI number 1295853588
LBN Legal business name Laycock, Charles M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1295853588 NPPES
Washington Other 2398 WA STATE LICENSE NUMBER
Washington Other 60683 WA STATE LICENSE NUMBER

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