BO MULLEN (NPI# 1356726657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356726657 |
| Entity Type | Individual |
| Full Name | BO MULLEN |
| Credential | D.C. |
| Practice Address |
11511 Canterwood Blvd Nw Ste 210 Gig Harbor WA 98332-5818 |
| Practice Telephone | 2538585152 |
| Practice Fax Number | 2538585153 |
| Mailing Telephone | 2538585152 |
| Mailing Fax Number | 2538585153 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60582933 | WA | Chiropractic Providers |
| Street Address |
11511 CANTERWOOD BLVD NW STE 210 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669949889 | Sarah M Anderson | Massage Therapist | 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 | 2018-10-25 |
| 1063941284 | Laura Lee Phipps | Massage Therapist | 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 | 2017-06-09 |
| 1265892194 | Harbor Life Chiropractic PC | Chiropractor | 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| 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 |
|---|---|---|---|---|
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1871066332 | John Austin Colvill | Chiropractor | 6565 Kimball Dr Ste 101, Gig Harbor, WA 98335-1269 | 2019-01-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1184969974 | Family Practice of Chiropractic Inc. P.s. | Chiropractor | 3312 Rosedale St. N.w., Suite 104, Gig Harbor, WA 98335 | 2012-12-05 |
| 1740541911 | Unison Chiropractic, Ps | Chiropractor | 5358 33rd Ave. Nw, Suite 204, Gig Harbor, WA 98335 | 2012-06-05 |
| 1811298599 | Kenneth James Stanton | Chiropractor | 12904 Purdy Dr Nw, Suite C, Gig Harbor, WA 98332-8667 | 2010-11-10 |
| 1366774648 | Russell Lee Kolbo | Chiropractor | 6712 Kimball Dr., #100, Gig Harbor, WA 98335-1220 | 2010-02-11 |
| 1689830002 | Gruber Chiropractic Ps | Chiropractor | 3608 Grandview St, Gig Harbor, WA 98335-1135 | 2008-08-05 |
| 1295901155 | Atlas Family Chiropractic PC | Chiropractor | 3206 50th Street Ct Nw Ste 107, Gig Harbor, WA 98335-8568 | 2008-05-01 |
| 1871766154 | Burl Pettibon | Chiropractor | 7108 Pioneer Way, Ste A, Gig Harbor, WA 98335-1178 | 2008-04-08 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
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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.