Provider Demographics
NPI:1497207377
Name:DUMAS, SKYLER (DC)
Entity Type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:
Last Name:DUMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:MONUMENTAL
Other - Middle Name:
Other - Last Name:CHIROPRACTIC LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:555 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2517
Mailing Address - Country:US
Mailing Address - Phone:509-684-6526
Mailing Address - Fax:509-684-6309
Practice Address - Street 1:555 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2517
Practice Address - Country:US
Practice Address - Phone:509-684-6526
Practice Address - Fax:509-684-6309
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60697646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor