PROVASOLI CHIROPRACTIC INC. (NPI# 1366940645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940645 |
| Entity Type | Organization |
| Organization Name | PROVASOLI CHIROPRACTIC INC. |
| Other Organization Name | PROVASOLI CHIROPRACTIC |
| Practice Address |
1018 7th Ave Se Olympia WA 98501-1512 |
| Practice Telephone | 3604598114 |
| Mailing Telephone | 5158220405 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Authorized Official Name | DR. MARK DEN HARTOG (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 5158220405 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 60741817 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CHIROPRACTOR | 1023081155 | 01 |
| Other Name | Type Code |
|---|---|
| Provasoli Chiropractic | Doing Business As Name - Organization |
| Street Address |
1018 7TH AVE SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081155 | Mark J Den Hartog | Chiropractor | 1018 7th Ave Se, Olympia, WA 98501-1512 | 2006-02-09 |
| 1114072352 | Judith Freed Provasoli | Counselor | 1018 7th Ave Se, Olympia, WA 98501-1512 | 2007-01-25 |
| 1962553388 | Jan Pfeffer Berney | Counselor | 1018 7th Ave Se, Olympia, WA 98501-1512 | 2007-01-13 |
| 1891861001 | Robert Provasoli | Chiropractor | 1018 7th Ave Se, Olympia, WA 98501-1512 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035210 | Ideal Option, Pllc | Clinic/Center | 205b Lilly Rd Ne Ste C, Olympia, WA 98506-7401 | 2018-08-29 |
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1861939597 | The Olympia Free Clinic | Clinic/Center | 108 State Ave Nw, Olympia, WA 98501-8249 | 2017-01-19 |
| 1689273955 | Sisu Health PC | Clinic/Center | 1824 Black Lake Blvd Sw Ste 101, Olympia, WA 98512-5714 | 2020-10-19 |
| 1215549894 | Clevenger Chiropractic Services LLC | Clinic/Center | 549 Mcphee Rd Sw, Olympia, WA 98502-5015 | 2020-08-17 |
| 1528599685 | South Sound Vasectomy and Men's Health | Clinic/Center | 324 W Bay Dr Nw, Suite 105, Olympia, WA 98502-4926 | 2017-03-21 |
| 1760840755 | Atlas Sleep Diagnostics LLC | Clinic/Center | 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 | 2016-02-04 |
| 1962876540 | Wellness Navigators, Pllc | Clinic/Center | 1804 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512-5633 | 2015-11-19 |
| 1487047601 | Rainier Family Practice, Pllc | Clinic/Center | 1408 State Ave Ne Ste 111, Olympia, WA 98506-4481 | 2015-03-12 |
| 1619241346 | Mark W Bradford Md Inc Ps | Clinic/Center | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2012-02-27 |
| Find all providers in OLYMPIA | ||||
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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.