Austin D McMillin DC PS
Organization Active NPI Rehabilitation Chiropractor · Fircrest, WA
NPI 1386977148 · NPPES record last updated Dec 11, 2009
Key facts
- NPI
- 1386977148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- CH 00002338 (WA)
- Legal business name
- AUSTIN D MCMILLIN DC PS
- Practice address
- 1033 Regents Blvd
Ste. 204
Fircrest, WA 98466-6045 - Phone
- (253) 564-1288
- Fax
- (253) 564-1752
- NPI assigned
- Sep 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Austin D McMillin, D.C, P.S
- Title
- Owner
- Phone
- (253) 564-1288
Corporate family (same tax ID) 1
Practitioners 4
-
Kyle S Bristow, LMP
-
Elsbeth D. Moody, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091218000123 | WA | Part B Supplier - Clinic/Group Practice | 7810037066 |
Receives reassigned benefits from 1 practitioner Practice locations: Fircrest, WA |
National Provider Directory
- Tax ID family
- Austin D McMillin
Locations
1033 Regents Blvd
Ste 204
Fircrest, WA 98466
Phone (253) 564-1288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor |
111NR0400X | CH 00002338 | WA | Yes |
Addresses
Primary practice location
1033 Regents Blvd
Ste. 204
Fircrest, WA 98466-6045
Mailing address
1033 Regents Blvd
Ste. 204
Fircrest, WA 98466-6045
Phone (253) 564-1288
Other providers in Fircrest, WA
- Kristen Adriazola
- Alameda Dental
- Tiffany Artime
- John Wesley Atkinson
- Angela Dawn Bachel
- Stephen David Beck
- Audrey Inez Bellerud
- Madeline Elise Berry
- Quasheba Bey
All providers in Fircrest, WA · Rehabilitation Chiropractor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.