Provider Demographics
NPI:1467645879
Name:HAVELKA, JANELLE CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:CHRISTINE
Last Name:HAVELKA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 ELECTRIC AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2410
Mailing Address - Country:US
Mailing Address - Phone:360-671-5644
Mailing Address - Fax:360-715-2864
Practice Address - Street 1:1486 ELECTRIC AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-2410
Practice Address - Country:US
Practice Address - Phone:360-671-5644
Practice Address - Fax:360-715-2864
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor