24 Bones Chiropractic
Organization Active NPI Chiropractor · Kennewick, WA
NPI 1801201249 · NPPES record last updated Jun 24, 2014
Key facts
- NPI
- 1801201249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH60443785 (WA)
- Legal business name
- 24 BONES CHIROPRACTIC
- Practice address
- 10121 W Clearwater Ave # 112
Kennewick, WA 99336-3500 - Phone
- (509) 783-5255
- NPI assigned
- Jun 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Corey Scott Nay, DC
- Title
- Chiropractor
- Phone
- (509) 783-5255
Practitioners 3
-
Corey Nay, D.C.
-
Molly Anne Clemenson, M.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150618002455 | WA | Part B Supplier - Clinic/Group Practice | 6406167311 |
Receives reassigned benefits from 1 practitioner Practice locations: Kennewick, WA |
National Provider Directory
Locations
10121 W Clearwater Ave
Ste 112
Kennewick, WA 99336
Phone (509) 783-5255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH60443785 | WA | Yes |
Addresses
Primary practice location
10121 W Clearwater Ave # 112
Kennewick, WA 99336-3500
Mailing address
10121 W Clearwater Ave # 112
Kennewick, WA 99336-3500
Phone (509) 783-5255
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2014. 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.