Provider Demographics
NPI:1437295961
Name:VOSS CHIROPRACTIC, P.S.
Entity Type:Organization
Organization Name:VOSS CHIROPRACTIC, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-847-2687
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-0988
Mailing Address - Country:US
Mailing Address - Phone:253-847-2687
Mailing Address - Fax:253-846-3012
Practice Address - Street 1:10107 213TH ST E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8059
Practice Address - Country:US
Practice Address - Phone:253-847-2687
Practice Address - Fax:253-846-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA26528OtherL&I
WA26528OtherL&I
WAT86911Medicare UPIN