Spiller, Lary Gene
Spiller, Lary Gene is an individual health care provider with primary practice located at 16809 Redmond Way , Redmond WA 98052-4449. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Spiller, Lary Gene can be contacted via phone (425) 883-2433.Contact Information
Primary practice address
16809 Redmond Way
Redmond WA 98052-4449
Phone: (425) 883-2433
Fax: (425) 861-0883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 00001720 | Washington |
Profile Details
| NPI number | 1265401970 |
|---|---|
| LBN Legal business name | Spiller, Lary Gene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265401970 | NPPES |
| Other | 18251 | L I | |
| MEDICAID | 2007003 | L I |
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