Inter Island Chiropractic Inc PS
Organization Active NPI Chiropractor · Eastsound, WA
NPI 1972556439 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1972556439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 602 585 485 (WA)
- Legal business name
- INTER ISLAND CHIROPRACTIC INC PS
- Practice address
- 441 N Beach Rd
Eastsound, WA 98245-8927 - Phone
- (360) 376-2100
- Fax
- (360) 376-6255
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- John W Fabianek, D.C.
- Title
- Proprietor
- Phone
- (360) 376-2100
Practitioners 1
-
Rebecca I Ortman, D.C
National Provider Directory
Locations
182 Lopez Rd
Lopez Island, WA 98261
Phone (360) 468-2415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 602 585 485 | WA | Yes |
Addresses
Primary practice location
441 N Beach Rd
Eastsound, WA 98245-8927
Mailing address
PO Box 955
Eastsound, WA 98245-0955
Phone (360) 376-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602 585 485 | Other | WA | STATE LICENSE |
Other providers in Eastsound, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.