Provider Demographics
NPI:1750403168
Name:NEARY NATUROPATHIC CLINIC, LLC
Entity type:Organization
Organization Name:NEARY NATUROPATHIC CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEARY
Authorized Official - Suffix:JR
Authorized Official - Credentials:ND
Authorized Official - Phone:206-817-9765
Mailing Address - Street 1:PO BOX 3382
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213-8382
Mailing Address - Country:US
Mailing Address - Phone:206-817-9765
Mailing Address - Fax:360-652-4472
Practice Address - Street 1:2615 W CASINO RD STE 1B
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-2109
Practice Address - Country:US
Practice Address - Phone:206-817-9765
Practice Address - Fax:360-652-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000783175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty