Provider Demographics
NPI:1790101483
Name:MCVEIGH, PATRICK J (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:MCVEIGH
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 1:6314 19TH ST W
Mailing Address - Street 2:STE 11
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6223
Mailing Address - Country:US
Mailing Address - Phone:727-698-7404
Mailing Address - Fax:
Practice Address - Street 1:115 N YAKIMA AVE
Practice Address - Street 2:APT 501
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2239
Practice Address - Country:US
Practice Address - Phone:727-698-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60376079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor