HASLAM CHIROPRACTIC PLLC (NPI# 1376900712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376900712 |
| Entity Type | Organization |
| Organization Name | HASLAM CHIROPRACTIC PLLC |
| Other Organization Name | CHEWELAH FAMILY CHIROPRACTIC |
| Practice Address |
301 E Clay Ave Suite 219 Chewelah WA 99109-8936 |
| Mailing Address |
Po Box 1133 Chewelah WA 99109-1133 |
| Practice Telephone | 5099356822 |
| Practice Fax Number | 5099354885 |
| Mailing Telephone | 5099356822 |
| Mailing Fax Number | 5099354885 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | DR. BRADLEY HASLAM (OWNER) |
| Authorized Official Telephone | 5099356822 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CH-60404828 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chewelah Family Chiropractic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275999740 | Haslam Chiropractic Pllc | Clinic/Center | 301 E Clay Ave Ste 219, Chewelah, WA 99109-8936 | 2016-01-13 |
| Street Address |
301 E CLAY AVE SUITE 219 |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-8936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083736425 | Pamela D Holmes | Counselor | 301 E Clay Ave, Suite #220, Chewelah, WA 99109-8936 | 2007-04-05 |
| 1467981050 | Martha Fairley | Counselor | 301 E Clay Ave, Chewelah, WA 99109 | 2017-06-07 |
| 1861827503 | Bradley David Haslam | Chiropractor | 301 E Clay Ave, Suite 219, Chewelah, WA 99109-8936 | 2013-09-12 |
| 1396036216 | Nicole Marie Haywood | Specialist | 301 E Clay Ave, Suite 220, Chewelah, WA 99109-8936 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
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| 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 |
|---|---|---|---|---|
| 1275999740 | Haslam Chiropractic Pllc | Clinic/Center | 301 E Clay Ave Ste 219, Chewelah, WA 99109-8936 | 2016-01-13 |
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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.