Provider Demographics
NPI:1275668980
Name:PRIBIC, NENO XAVIER (DC)
Entity Type:Individual
Prefix:DR
First Name:NENO
Middle Name:XAVIER
Last Name:PRIBIC
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 1:50 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4909
Mailing Address - Country:US
Mailing Address - Phone:425-828-3804
Mailing Address - Fax:
Practice Address - Street 1:50 16TH AVE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4909
Practice Address - Country:US
Practice Address - Phone:425-828-3804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3388111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician