Michael L Keehn, DC
Individual provider Active NPI Chiropractor · Marysville, WA
NPI 1841358744 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1841358744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00002113 (WA)
- Practice address
- 9516 State Ave
Ste D
Marysville, WA 98270-4301 - Phone
- (360) 659-6241
- Fax
- (360) 659-3918
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000336 | WA | Practitioner - Chiropractic |
1951488303 |
Reassigns benefits to 1 organization Practice locations: Marysville, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002113 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symmetria Integrative Medical | Current |
Accepting new patients | |
| Seahurst Chiropractic Clinic Inc. | Chiropractor | Current |
Accepting new patients |
| Marysville Foot and Ankle Clinic | Past |
Accepting new patients | |
| Marysville Foot & Ankle Clinic | Past |
Accepting new patients | |
| Johnson Chiropractic Center, Inc | Chiropractor | Past | Accepting new patients |
| Arlington Spine Center, PLLC | Chiropractor | Past |
Accepting new patients |
Locations
215 E 3rd St
Arlington, WA 98223
Phone (360) 474-9900
9528 State Ave
Ste B
Marysville, WA 98270
Phone (360) 659-6554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002113 | WA | Yes |
Addresses
Primary practice location
9516 State Ave
Ste D
Marysville, WA 98270-4301
Mailing address
PO Box 1415
Marysville, WA 98270
Phone (360) 659-6241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2568103 | Medicaid | WA | |
| 68088 | Other | WA | LABOR AND INDUSTRIES |
| R70063 | Other | WA | REGENCE |
Other providers in Marysville, WA
- Amandeep Kaur
- Gurpreet Kaur
- Harsimran Kaur
- Deanna Marie Kazen
- Keehn Chiropractic Clinic
- Stephen R Keehn
- William J. Kelleher
- Karen Kellett
- Kelly Howard Consulting
- Amanda Kelly
All providers in Marysville, 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 Mar 30, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.