Provider Demographics
NPI:1588613269
Name:WELLS, ERIK MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:MATTHEW
Last Name:WELLS
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 1:6141 93RD ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2401
Mailing Address - Country:US
Mailing Address - Phone:253-584-3838
Mailing Address - Fax:253-588-5115
Practice Address - Street 1:6141 93RD ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2401
Practice Address - Country:US
Practice Address - Phone:253-584-3838
Practice Address - Fax:253-588-5115
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor