Provider Demographics
NPI:1508003419
Name:VALENTE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:VALENTE CHIROPRACTIC PLLC
Other - Org Name:MICHAEL R VALENTE DC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALEMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:509-467-0057
Mailing Address - Street 1:3017 E FRANCIS
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-2435
Mailing Address - Country:US
Mailing Address - Phone:509-467-0057
Mailing Address - Fax:509-467-4834
Practice Address - Street 1:3017 E FRANCIS
Practice Address - Street 2:SUITE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-2435
Practice Address - Country:US
Practice Address - Phone:509-467-0057
Practice Address - Fax:509-467-4834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG319000324Medicare PIN
WAU64895Medicare UPIN