Provider Demographics
NPI:1801204847
Name:BOOKWORK OF WALLA WALLA LLC
Entity Type:Organization
Organization Name:BOOKWORK OF WALLA WALLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:RINGERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-876-4109
Mailing Address - Street 1:790 S. HUSSEY ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-876-4109
Mailing Address - Fax:509-436-1585
Practice Address - Street 1:790 S HUSSEY ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-8282
Practice Address - Country:US
Practice Address - Phone:509-876-4109
Practice Address - Fax:509-436-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty