Provider Demographics
NPI:1578727202
Name:C.H.I.R.O. HEALTH CENTER PC
Entity Type:Organization
Organization Name:C.H.I.R.O. HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-786-8600
Mailing Address - Street 1:200 W ST SE STE A
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5200
Mailing Address - Country:US
Mailing Address - Phone:360-786-8600
Mailing Address - Fax:360-786-8603
Practice Address - Street 1:200 W ST SE STE A
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5200
Practice Address - Country:US
Practice Address - Phone:360-786-8600
Practice Address - Fax:360-786-8603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty