Provider Demographics
NPI:1346345261
Name:DUMOVIC, JOSEPH LEONARD (DC,ND)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LEONARD
Last Name:DUMOVIC
Suffix:
Gender:M
Credentials:DC,ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 S 152ND ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2142
Mailing Address - Country:US
Mailing Address - Phone:206-244-5216
Mailing Address - Fax:206-244-0897
Practice Address - Street 1:3480 S 152ND ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2142
Practice Address - Country:US
Practice Address - Phone:206-244-5216
Practice Address - Fax:206-244-0897
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00000934111N00000X
WANT00000367175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADU0240OtherREGENCE-NATUROPATHIC
WA2237907Medicaid
WA0013835OtherL&I-NATUROPATHIC
WADU0670OtherREGENCE-CHIROPRACTIC
WA0047534OtherL&I-CHIROPRACTIC
WA000101361Medicare ID - Type Unspecified
WA2237907Medicaid