Provider Demographics
NPI:1710078365
Name:GARTON, ROBERT O JR (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:O
Last Name:GARTON
Suffix:JR
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 1:823 W MAIN ST STE I
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1156
Mailing Address - Country:US
Mailing Address - Phone:253-735-0144
Mailing Address - Fax:253-735-0145
Practice Address - Street 1:823 W MAIN ST STE I
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1156
Practice Address - Country:US
Practice Address - Phone:253-735-0144
Practice Address - Fax:253-735-0145
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8911386Medicare PIN
WAG000101761Medicare PIN
WAT 01602Medicare UPIN