Provider Demographics
NPI:1891862454
Name:FINNIGAN, JEFFRY (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:
Last Name:FINNIGAN
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 1:1307 VIOLET ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-5710
Mailing Address - Country:US
Mailing Address - Phone:360-459-7800
Mailing Address - Fax:360-459-1216
Practice Address - Street 1:1307 VIOLET ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-5710
Practice Address - Country:US
Practice Address - Phone:360-459-7800
Practice Address - Fax:360-459-1216
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4880OtherSTATE L & I
WAT02699Medicare UPIN