Provider Demographics
NPI:1972655397
Name:DR JEFFREY PARTON DC PS
Entity Type:Organization
Organization Name:DR JEFFREY PARTON DC PS
Other - Org Name:MERCER ISLAND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-232-6653
Mailing Address - Street 1:PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-0807
Mailing Address - Country:US
Mailing Address - Phone:206-232-6653
Mailing Address - Fax:206-232-5564
Practice Address - Street 1:3236 78TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3500
Practice Address - Country:US
Practice Address - Phone:206-232-6653
Practice Address - Fax:206-232-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWALIC#CH000338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU81748Medicare UPIN
WAG8806933Medicare ID - Type Unspecified