CHIROPRACTIC HEALTHCARE CENTER, P S (NPI# 1093887663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093887663 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC HEALTHCARE CENTER, P S |
| Practice Address |
15324 Main St E Ste B Sumner WA 98390-2698 |
| Practice Telephone | 2538635323 |
| Practice Fax Number | 2538632034 |
| Mailing Telephone | 2538635323 |
| Mailing Fax Number | 2538632034 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | MR. RICHARD QUINT COCKRELL (D.C.) |
| Authorized Official Telephone | 2538635323 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034177 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UBI NUMBER | 601367608 | 01 |
| WA | LICENSE # | CH00034177 | 01 |
| WA | LNI GROUP | 119433 | 01 |
| Street Address |
15324 MAIN ST E STE B |
| City | SUMNER |
| State | WA |
| Zip Code | 98390-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275610081 | Richard Quint Cockrell | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-01 |
| 1184269839 | Select Family Clinic LLC | Nurse Practitioner | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2019-11-16 |
| 1336602762 | Maua Wingi Swai | Family Medicine | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2019-04-11 |
| 1023340601 | Stacy Laine Lewis | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2010-02-05 |
| 1588892228 | Nicole Lynn Howard | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2009-07-01 |
| 1043385438 | Courtney Janelle Madlung | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-21 |
| 1174698583 | Ranjiv Singh Bains | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-21 |
| 1396819918 | Annamarie Lucy Barquest | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996211 | Michael Johnson-money | Pharmacist | 20904 Highway-410, Bonney Lake, WA 98390 | 2017-07-26 |
| 1295150498 | Sound Associates Western Washington LLC | Hearing Instrument Specialist | 15324 Main St. E, Ste. B, Sumner, WA 98390 | 2014-02-25 |
| 1811330129 | Callie Leah Macleod | Student in an Organized Health Care Education/Training Program | 5805 Parker Rd, Sumner, WA 98390 | 2013-04-17 |
| 1699020388 | Alex George Wardle | Pharmacist | 20901 Highway 410, Bonney Lake, WA 98390 | 2012-07-18 |
| 1417102112 | Laura Christine Vandyk | Dentist | 1006 C Fryar Ave, Sumner, WA 98390 | 2008-11-21 |
| 1164631248 | Jeff Lee Sisco | Massage Therapist | 21157 State Route 410, Bonney Lake, WA 98390 | 2007-05-22 |
| 1215053764 | Assisted Living Concepts Inc | Assisted Living Facility | 5713 Parker Road, Sumner, WA 98390 | 2007-03-22 |
| 1518007350 | Julie Bush Webster | Marriage & Family Therapist | 920 Alder Avenue, Suite 203, Sumner, WA 98390 | 2007-02-08 |
| 1154478014 | Bonney Lake Optical, Inc | Durable Medical Equipment & Medical Supplies | 21221 Hwy 410, Bonney Lake, WA 98390 | 2007-01-04 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| Find all providers in zip 98390 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982075966 | 410 Chiropractic LLC | Chiropractor | 16202 64th St E Ste 115, Sumner, WA 98390-3028 | 2015-10-15 |
| 1194029595 | Cheris Paresa | Chiropractor | 1818 Main St Ste D, Sumner, WA 98390-1853 | 2010-12-29 |
| 1760714117 | Tedd M. Perkins | Chiropractor | 603 Hunt Ave Ste A, Sumner, WA 98390-1117 | 2010-02-10 |
| 1932386695 | Aaron Robert Smith | Chiropractor | 1702 Rainier St, Sumner, WA 98390-1751 | 2008-01-24 |
| 1275610081 | Richard Quint Cockrell | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-01 |
| 1710078365 | Robert O Garton Jr. | Chiropractor | 823 W Main St Ste I, Sumner, WA 98390-1156 | 2006-09-27 |
| 1407254311 | Jordan S Thaanum | Chiropractor | 603 Hunt Ave Ste A, Sumner, WA 98390-1117 | 2014-12-09 |
| 1821410820 | Sumner Chiropractic Clinic PC | Chiropractor | 108 W 1st St, Sumner, IA 50674-1141 | 2014-01-09 |
| 1619224631 | Perkins Chiropractic Pllc | Chiropractor | 603 Hunt Ave Ste A, Sumner, WA 98390-1117 | 2012-08-09 |
| 1295980639 | Riverside Chiropractic Centre Pllc | Chiropractor | 603 Hunt Ave, Suite A, Sumner, WA 98390-1117 | 2008-11-26 |
| Find all providers in SUMNER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.