Provider Demographics
NPI:1952525727
Name:MUNOZ, CARLOS (DC)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:MUNOZ
Suffix:
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 1:509 NE RIDDELL RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3026
Mailing Address - Country:US
Mailing Address - Phone:360-308-0250
Mailing Address - Fax:
Practice Address - Street 1:9414 RIDGETOP BLVD NW
Practice Address - Street 2:101
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8525
Practice Address - Country:US
Practice Address - Phone:360-308-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor