Provider Demographics
NPI:1205018397
Name:BRIAN MATHER, PC
Entity Type:Organization
Organization Name:BRIAN MATHER, PC
Other - Org Name:SPOKANE CHIROPRACTIC & SPORTS INJURY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-465-8400
Mailing Address - Street 1:1113 E WESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1319
Mailing Address - Country:US
Mailing Address - Phone:509-465-8400
Mailing Address - Fax:509-465-8500
Practice Address - Street 1:1113 E WESTVIEW CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1319
Practice Address - Country:US
Practice Address - Phone:509-465-8400
Practice Address - Fax:509-465-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003336111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB32618Medicare PIN