Provider Demographics
NPI:1720157399
Name:ABRAMSON, CHAD M SR (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:M
Last Name:ABRAMSON
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12720 4TH AVE W
Mailing Address - Street 2:PMB F-324
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5707
Mailing Address - Country:US
Mailing Address - Phone:425-315-6262
Mailing Address - Fax:877-848-7680
Practice Address - Street 1:10333 19TH AVE SE
Practice Address - Street 2:SUITE 103
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4267
Practice Address - Country:US
Practice Address - Phone:425-315-6262
Practice Address - Fax:877-848-7680
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG115001110Medicare ID - Type UnspecifiedMEDICARE ID NUMBER