Provider Demographics
NPI:1952065807
Name:SPINE LLC
Entity Type:Organization
Organization Name:SPINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NMEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-557-0177
Mailing Address - Street 1:2450 BERKLEY LOOP
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-6084
Mailing Address - Country:US
Mailing Address - Phone:509-557-0177
Mailing Address - Fax:
Practice Address - Street 1:610 VALLEY MALL PKWY STE 616B
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4838
Practice Address - Country:US
Practice Address - Phone:509-557-0177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty