Provider Demographics
NPI:1942539739
Name:FRANKLIN CHIROPRACTIC PS
Entity Type:Organization
Organization Name:FRANKLIN CHIROPRACTIC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:VECHABUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-516-6989
Mailing Address - Street 1:10030 SILVERDALE WAY NW STE 102
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7624
Mailing Address - Country:US
Mailing Address - Phone:360-516-6989
Mailing Address - Fax:360-799-5624
Practice Address - Street 1:10030 SILVERDALE WAY NW STE 102
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7624
Practice Address - Country:US
Practice Address - Phone:360-516-6989
Practice Address - Fax:360-799-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH6012674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACH6012674OtherWA STATE BUSINESS LICENSE