Provider Demographics
NPI:1760517973
Name:NATURAL CHOICE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NATURAL CHOICE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-574-9440
Mailing Address - Street 1:12416 NW 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2225
Mailing Address - Country:US
Mailing Address - Phone:360-574-9440
Mailing Address - Fax:360-574-9288
Practice Address - Street 1:12416 NW 36TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2225
Practice Address - Country:US
Practice Address - Phone:360-574-9440
Practice Address - Fax:360-574-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8863691Medicare PIN