Provider Demographics
NPI:1518522549
Name:PALMERCARE CHIROPRACTIC WASHINGTON
Entity Type:Organization
Organization Name:PALMERCARE CHIROPRACTIC WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-829-7506
Mailing Address - Street 1:1140 CONNECTICUT AVE NW STE 950
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-4031
Mailing Address - Country:US
Mailing Address - Phone:202-828-8303
Mailing Address - Fax:202-828-8305
Practice Address - Street 1:1140 CONNECTICUT AVE NW STE 950
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4031
Practice Address - Country:US
Practice Address - Phone:202-828-8303
Practice Address - Fax:202-828-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000OtherDO NOT HAVE