Back and Neck Pain Center of Lynnwood PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK AND NECK PAIN CENTER OF LYNNWOOD PLLC

Practice address

16825 48TH Ave W
#110
Lynnwood, WA 98037-6401

Phone

(206) 218-6955

Fax

(425) 775-7975

NPI assigned

Sep 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Derrik Williams, D.C.

Title

Owner/Manager

Phone

(206) 218-6955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1902187024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 48TH AVE W",
            "address_2": "#110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376401",
            "telephone_number": "206-218-6955",
            "fax_number": "425-775-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 48TH AVE W",
            "address_2": "#110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376401",
            "telephone_number": "206-218-6955",
            "fax_number": "425-775-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK PAIN CENTER OF LYNNWOOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERRIK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "206-218-6955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joleen Michelle Bacon, LMP
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• Michael John Bagby, DPT

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.