Provider Demographics
NPI:1497768345
Name:FLODING, NATE A (DC)
Entity Type:Individual
Prefix:DR
First Name:NATE
Middle Name:A
Last Name:FLODING
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:PO BOX 11542
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98508-1542
Mailing Address - Country:US
Mailing Address - Phone:360-459-9000
Mailing Address - Fax:360-459-9183
Practice Address - Street 1:1526 BISHOP RD SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7354
Practice Address - Country:US
Practice Address - Phone:360-459-9000
Practice Address - Fax:360-459-9183
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0226975OtherLABOR AND INDUSTRIES
WAGAB29312Medicare ID - Type Unspecified