Jibok Lee (NPI# 1043696297, PAC ID# 3577878834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1043696297 |
| PAC ID by PECOS | 3577878834 |
| Professional Enrollment ID | I20150814013962 |
| Full Name | Jibok Lee |
| Organization Legal Name | SUMMIT CHIROPRACTIC CENTER, PLLC |
| Address |
2530 Ne Kresky Ave Suite A Chehalis WA 98532-2406 |
| Phone Number | 3609964800 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2466774641 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 | 3609964800 | SUMMIT CHIROPRACTIC CENTER, PLLC |
| Organization Legal Name | SUMMIT CHIROPRACTIC CENTER, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron D Wilson | Chiropractic | Summit Chiropractic Center, Pllc | 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 |
| Street Address |
2530 NE KRESKY AVE SUITE A |
| City | CHEHALIS |
| State | WA |
| Zip | 98532-2406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron D Wilson | Chiropractic | Summit Chiropractic Center, Pllc | 2530 Ne Kresky Ave, Suite A, Chehalis, WA 98532-2406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Wayne Dupree | Optometry | 1601 Nw Louisiana Ave, Chehalis, WA 98532-1700 | |
| Jay V Gallinger | Optometry | 66 Nw Boistfort St, Chehalis, WA 98532-2003 | |
| Lisa M Archer | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| David W Cooper | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| David M Nixon | Clinical Social Worker | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Christiaan Fs Collier | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Sundy R Holland | Internal Medicine | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Elisabeth A Hansen | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Faith K Mmborothi | Nurse Practitioner | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Stephen D Hennessey | General Surgery | Lewis County Community Health Services | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 |
| Find all physicians in zip 98532 | |||
| City | CHEHALIS |
| Zip Code | 98532 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CHEHALIS + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.