Provider Demographics
NPI:1649356536
Name:ERIN K SIMPSON DC PS
Entity type:Organization
Organization Name:ERIN K SIMPSON DC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-647-1970
Mailing Address - Street 1:1215 MILL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7147
Mailing Address - Country:US
Mailing Address - Phone:360-647-1970
Mailing Address - Fax:360-647-0668
Practice Address - Street 1:1215 MILL AVE STE A
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7147
Practice Address - Country:US
Practice Address - Phone:360-647-1970
Practice Address - Fax:360-647-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034036111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8806035Medicare UPIN
WA8805853Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER