Provider Demographics
NPI:1437305687
Name:NADER FAMILY CHIROPRACTIC. INC.
Entity Type:Organization
Organization Name:NADER FAMILY CHIROPRACTIC. INC.
Other - Org Name:NADER FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-445-9030
Mailing Address - Street 1:PO BOX 73363
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-0363
Mailing Address - Country:US
Mailing Address - Phone:253-445-9030
Mailing Address - Fax:253-445-9031
Practice Address - Street 1:17528 MERIDIAN E
Practice Address - Street 2:SUITE 207
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-6286
Practice Address - Country:US
Practice Address - Phone:253-445-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003569111N00000X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1548320039OtherNPI
WA1467990556OtherNPI