CHEHALIS CHIROPRACTIC CLINIC, PS (NPI# 1104988963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104988963 |
| Entity Type | Organization |
| Organization Name | CHEHALIS CHIROPRACTIC CLINIC, PS |
| Practice Address |
876 S Market Blvd Chehalis WA 98532-3422 |
| Practice Telephone | 3607481301 |
| Mailing Telephone | 3607481301 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | HAROLD TIMOTHY SHELTON (PRESIDENT) |
| Authorized Official Telephone | 3607481301 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002421 | WA | Chiropractic Providers |
| Street Address |
876 S MARKET BLVD |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| 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 |
|---|---|---|---|---|
| 1568608255 | Moeckel Chiropractic, P.s. | Chiropractor | 83 Sw 13th St, Suite 2, Chehalis, WA 98532-3602 | 2008-12-30 |
| 1710008123 | Dale Raymond Peters | Chiropractor | 2364 Jackson Highway, Chehalis, WA 98532 | 2007-04-03 |
| 1972632081 | Randall William Miller | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2007-03-05 |
| 1952437915 | Scott Moeckel | Chiropractor | 2364 Jackson Hwy, Chehalis, WA 98532-8647 | 2007-02-26 |
| 1780738294 | Todd Michael Shelton | Chiropractor | 1339 Nw Louisiana Ave, Chehalis, WA 98532-1427 | 2007-01-22 |
| 1356317531 | Jay D Kaplan | Chiropractor | 42 Sw 13th St, Chehalis, WA 98532-3627 | 2006-02-27 |
| 1417596735 | Wilson Chiropractic LLC | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2020-01-03 |
| 1679117428 | Justin Wilson | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2019-11-05 |
| 1043696297 | Jibok Lee | Chiropractor | 2530 Ne Kresky Ave, Ste A, Chehalis, WA 98532-2406 | 2015-08-10 |
| 1790180206 | Summit Chiropractic Center, Pllc | Chiropractor | 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 | 2014-10-27 |
| Find all providers in CHEHALIS | ||||
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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.