Provider Demographics
NPI:1275874018
Name:RJCIV, INC. P.S.
Entity Type:Organization
Organization Name:RJCIV, INC. P.S.
Other - Org Name:HEALTH FIRST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-658-1987
Mailing Address - Street 1:1519 9TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4600
Mailing Address - Country:US
Mailing Address - Phone:360-658-1987
Mailing Address - Fax:360-658-5618
Practice Address - Street 1:1519 9TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4600
Practice Address - Country:US
Practice Address - Phone:360-658-1987
Practice Address - Fax:360-658-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60145579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG889222Medicare PIN