Provider Demographics
NPI:1790702413
Name:DOYLE CHIROPRACTIC CLINIC, PS
Entity Type:Organization
Organization Name:DOYLE CHIROPRACTIC CLINIC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-485-7507
Mailing Address - Street 1:16923 96TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-1937
Mailing Address - Country:US
Mailing Address - Phone:425-485-7507
Mailing Address - Fax:425-483-7332
Practice Address - Street 1:16923 96TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1937
Practice Address - Country:US
Practice Address - Phone:425-485-7507
Practice Address - Fax:425-483-7332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty