Provider Demographics
NPI:1003581075
Name:PEPPING CHIROPRACTIC
Entity Type:Organization
Organization Name:PEPPING CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPPING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-874-2100
Mailing Address - Street 1:930 S 336TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6384
Mailing Address - Country:US
Mailing Address - Phone:253-874-2100
Mailing Address - Fax:
Practice Address - Street 1:930 S 336TH ST STE C
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6384
Practice Address - Country:US
Practice Address - Phone:253-874-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty