Church Chiropractic Clinic
LBN: Michael Church
Church Chiropractic Clinic is an health care organization with primary practice located at 510 E Main Ave Ste A , Puyallup WA 98372-5612. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Michael Church can be contacted via phone (253) 841-4425, or through Church, Michael L via phone (253) 841-4425.
Contact Information
Primary practice address
510 E Main Ave Ste A
Puyallup WA 98372-5612
Phone: (253) 841-4425
Fax: (253) 445-5712
Website:
Authorized official contact:
Name: Church, Michael L Doctor of Chiropractic (DC)
Phone: (253) 841-4425
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH3323 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1457539892 |
|---|---|
| LBN Legal business name | Michael Church |
| DBA Doing business as | Church Chiropractic Clinic |
| Authorized official | Church, Michael L Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2008 |
| Last updated | Feb 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457539892 | NPPES |
| Washington | Other | 169571 | GROUP WORKERS COMP |
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