Provider Demographics
NPI:1760504211
Name:BRIGGS CHIROPRACTIC, P.S.
Entity Type:Organization
Organization Name:BRIGGS CHIROPRACTIC, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-735-1109
Mailing Address - Street 1:1020 N CENTER PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7161
Mailing Address - Country:US
Mailing Address - Phone:509-735-1109
Mailing Address - Fax:509-735-1767
Practice Address - Street 1:1020 N CENTER PKWY STE E
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7161
Practice Address - Country:US
Practice Address - Phone:509-735-1109
Practice Address - Fax:509-735-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB22924Medicare ID - Type Unspecified