Provider Demographics
NPI:1346463346
Name:KAPEIKIS CHIROPRACTIC CLINIC PS
Entity Type:Organization
Organization Name:KAPEIKIS CHIROPRACTIC CLINIC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPEIKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-665-8363
Mailing Address - Street 1:630 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6622
Mailing Address - Country:US
Mailing Address - Phone:509-665-8363
Mailing Address - Fax:509-662-7274
Practice Address - Street 1:630 N CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6622
Practice Address - Country:US
Practice Address - Phone:509-665-8363
Practice Address - Fax:509-662-7274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0128515OtherLABOR & INDUSTRIES NUMBER
WA1720031735OtherINDIVIDUAL NPI NUMBER
WAP00272751OtherRAILROAD MEDICARE NUMBER
WA=========OtherEMPLOYER ID NUMBER
WAGAB10976Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER