Provider Demographics
NPI:1467581496
Name:CHIROPRACTIC PLUS INC
Entity Type:Organization
Organization Name:CHIROPRACTIC PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-924-7311
Mailing Address - Street 1:409 N ARGONNE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2874
Mailing Address - Country:US
Mailing Address - Phone:509-924-7311
Mailing Address - Fax:509-924-4408
Practice Address - Street 1:409 N ARGONNE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2874
Practice Address - Country:US
Practice Address - Phone:509-924-7311
Practice Address - Fax:509-924-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001832111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT02248Medicare UPIN
WAGAB37838Medicare ID - Type Unspecified