Washa, David Mark

Washa, David Mark is an individual health care provider with primary practice located at 1415 Us Hwy 16 , Lacrosse WI 54601. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Washa, David Mark can be contacted via phone (608) 785-7746.

Contact Information

Primary practice address
1415 Us Hwy 16 Lacrosse WI 54601
Phone: (608) 785-7746
Fax: (608) 782-2938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2535 Wisconsin
Chiropractic Providers / Sports Physician 111NS0005X 2813 Minnesota

Profile Details

NPI number 1164580031
LBN Legal business name Washa, David Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated May 22nd, 2008 - about 16 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 1164580031 NPPES
Minnesota Other 279J7WA BLUE CROSS BLUE SHIELD
Minnesota Other 391762498 BLUE CROSS BLUE SHIELD
Minnesota Other 391762498015 BLUE CROSS BLUE SHIELD
Minnesota Other P00046865 BLUE CROSS BLUE SHIELD

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