Family Chiropractic Clinic, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH00001860 Issued in WA

Legal business name

FAMILY CHIROPRACTIC CLINIC, INC.

Practice address

616 1/2 Whitcomb Ave
Tonasket, WA 98855

Phone

(509) 486-2991

Fax

(509) 486-2992

NPI assigned

Dec 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Welborn, D.C.

Title

President

Phone

(509) 486-2991

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1184927832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "address_2": "616 1/2 WHITCOMB AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988550631",
            "telephone_number": "509-486-2991",
            "fax_number": "509-486-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 1/2 WHITCOMB AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "98855",
            "telephone_number": "509-486-2991",
            "fax_number": "509-486-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-486-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00001860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021079",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "117078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jess Hunter Douglas, DPT
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• Dr. Robert N. Nau, DDS, Fagd, LLC
• William V Elbert, MD
• Empiresrx
• Family Health Centers
• Wanda L Garrett Antuna, ARNP
• Julie M Goyette, R.D.
• Thomas Alfred Gschiel, CRNA
• Ladona Harman, PTA

• Rehabilitation Chiropractor in Tonasket, WA
• Providers in Tonasket, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.