Provider Demographics
NPI:1538470745
Name:TROTTER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:TROTTER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-860-2050
Mailing Address - Street 1:925 5TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1978
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:925 5TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1978
Practice Address - Country:US
Practice Address - Phone:509-888-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60135000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty