Provider Demographics
NPI:1457305617
Name:CHONZENA, PATRICK ARNOLD (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ARNOLD
Last Name:CHONZENA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2526
Mailing Address - Country:US
Mailing Address - Phone:360-568-3319
Mailing Address - Fax:360-568-5106
Practice Address - Street 1:302 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2526
Practice Address - Country:US
Practice Address - Phone:360-568-3319
Practice Address - Fax:360-568-5106
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5369CHOtherREGENCE RIDER #
WA133473OtherLABOR AND INDUSTRIES
WAP00286520OtherRAILROAD MEDICARE
WA5369CHOtherREGENCE RIDER #
WAU79220Medicare UPIN