Vince L Fitzpatrick, DC
Individual provider Active NPI Chiropractor · Greenacres, WA
NPI 1407936586 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1407936586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00001085 (WA)
- Practice address
- 18211 E Appleway
Greenacres, WA 99016 - Phone
- (509) 926-1551
- Fax
- (509) 926-1661
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18211 E Appleway Ave
Spokane Valley, WA 99016-9564
Phone (509) 926-1551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080403000446 | WA | Practitioner - Chiropractic | 4486731213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vince L. Fitzpatrick DC | Chiropractor | Current |
Accepting new patients |
Locations
18211 E Appleway Ave
Spokane Valley, WA 99016
Phone (509) 926-1551
1414 N Vercler Rd
Ste 3
Spokane Valley, WA 99216
Phone (509) 927-4252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001085 | WA | Yes |
Addresses
Primary practice location
18211 E Appleway
Greenacres, WA 99016
Mailing address
PO Box 340
18211 E Appleway
Greenacres, WA 99016
Phone (509) 926-1551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2315505 | Medicaid | WA | |
| 350016953 | Other | WA | RR MEDICARE |
| 14817 | Other | WA | L I |
| E11435 | Other | WA | ASURIS |
Other names
- Vince L. Fitzpatrick
Other providers in Greenacres, WA
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- Paul Eric Caravello
- Carepoint Anesthesia
- Lisa Louise Desgrosellier
- Pavel I Gerasimchuk
- D Lynn Gfeller
- Marianne F Kartchner
- Lighthouse Physical Therapy and Sports Medicine
- Tina Morrison
All providers in Greenacres, WA · 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 May 19, 2008. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.