STILL WELL CHIROPRACTIC CLINIC INC (NPI# 1104961093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104961093 |
| Entity Type | Organization |
| Organization Name | STILL WELL CHIROPRACTIC CLINIC INC |
| Other Organization Name | HERITAGE CHIROPRACTIC CLINIC |
| Practice Address |
4537 S Yakima Tacoma WA 98418 |
| Practice Telephone | 2534753334 |
| Practice Fax Number | 2534750875 |
| Mailing Telephone | 2534753334 |
| Mailing Fax Number | 2534750875 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | DR. KENNETH RAY STILLWELL (OWNER PROVIDER) |
| Authorized Official Telephone | 2534753334 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Heritage Chiropractic Clinic | Doing Business As Name - Organization |
| Street Address |
4537 S YAKIMA |
| City | TACOMA |
| State | WA |
| Zip Code | 98418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1649756792 | Jaime Armenta | Counselor | Tacoma-pierce County Health Department, 3629 South D Street, Tacoma, WA 98418 | 2018-07-12 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1255453890 | Stephen Joseph Bauml | Chiropractor | 212 So 37th St, Tacoma, WA 98418 | 2007-04-04 |
| 1710015912 | Lincoln Pharmacy LLC | Pharmacy | 821b S 38th St, Tacoma, WA 98418 | 2007-03-01 |
| 1497813851 | Penelope S. Zindt | Chiropractor | 3819 So M, Tacoma, WA 98418 | 2006-12-05 |
| 1902987092 | Donna Leigh Daeschner | Dentist | 4001 So. Yakima Avenue, Tacoma, WA 98418 | 2006-10-17 |
| 1083622971 | Willie James Mccullum | Dentist | 4002 South 'm' Street, Suite A, Tacoma, WA 98418 | 2006-08-04 |
| 1871500322 | Michelle Gray Marconi | Chiropractor | 4537 So. Yakima Ave, Tacoma, WA 98418 | 2006-08-01 |
| 1780604009 | Living & Wellness Centers Ps | Physical Medicine & Rehabilitation | 3716 Pacific Ave, #e, Tacoma, WA 98418 | 2006-07-20 |
| Find all providers in zip 98418 | ||||
| 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 |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1346883949 | Nilda Liz Ramos Gonzalez | Chiropractor | 6105 Fawcett Ave, Tacoma, WA 98408-6329 | 2019-10-26 |
| 1164985958 | Bradley Warren Finlayson | Chiropractor | 6201 Pacific Ave Ste A, Tacoma, WA 98408-7423 | 2019-04-09 |
| 1396245635 | Raymond Chiropractic Inc | Chiropractor | 1702 S 72nd St Ste A, Tacoma, WA 98408-1238 | 2018-02-13 |
| 1659894020 | Brent Douglas Froberg | Chiropractor | 1201 Pacific Ave Ste 6006th, Tacoma, WA 98402-4301 | 2017-07-18 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1336526425 | Carlos Garcia | Chiropractor | 7817 Pacific Ave Ste A, Tacoma, WA 98408-7028 | 2015-04-28 |
| 1124413687 | Jessica Mitchell | Chiropractor | 6002 Westgate Blvd Ste 110, Tacoma, WA 98406-2580 | 2015-04-01 |
| 1598177792 | Elizabeth Collier | Chiropractor | 6901 6th Ave # 8, Tacoma, WA 98406-1705 | 2014-05-22 |
| 1790101483 | Patrick J Mcveigh | Chiropractor | 115 N Yakima Ave, Apt 501, Tacoma, WA 98403-2239 | 2014-03-05 |
| Find all providers in TACOMA | ||||
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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.