Provider Demographics
NPI:1205059474
Name:ARLINGTON FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ARLINGTON FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-435-3900
Mailing Address - Street 1:20218 77TH AVE NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-4602
Mailing Address - Country:US
Mailing Address - Phone:360-435-3900
Mailing Address - Fax:360-435-1105
Practice Address - Street 1:20218 77TH AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-4602
Practice Address - Country:US
Practice Address - Phone:360-435-3900
Practice Address - Fax:360-435-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0194568OtherLABOR AND INDUSTRIES
WA130156OtherLABORN AND INDUSTRIES
WA2542GAOtherBLUE SHIELD
WA0151161OtherLABOR AND INDUSTRIES
WA210186OtherLABOR AND INDUSTRIES
WA218748OtherLABOR AND INDUSTRIES
WA130156OtherLABORN AND INDUSTRIES
WA210186OtherLABOR AND INDUSTRIES
WA218748OtherLABOR AND INDUSTRIES
WA8808733Medicare PIN
WAU71899Medicare UPIN