Provider Demographics
NPI:1164537510
Name:BINFET, TROY A (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:A
Last Name:BINFET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-1345
Mailing Address - Country:US
Mailing Address - Phone:509-882-4311
Mailing Address - Fax:509-882-8025
Practice Address - Street 1:105 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:WA
Practice Address - Zip Code:98930-1345
Practice Address - Country:US
Practice Address - Phone:509-882-4311
Practice Address - Fax:509-882-8025
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2018935Medicaid
WA153996-35973OtherDEPT. OF LABOR & INDUSTR.
WA2018935Medicaid