MEDICARE: ARLINGTON FAMILY CHIROPRACTIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00003609	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0194568	OTHER	WA	LABOR AND INDUSTRIES
2	130156	OTHER	WA	LABORN AND INDUSTRIES
3	2542GA	OTHER	WA	BLUE SHIELD
4	0151161	OTHER	WA	LABOR AND INDUSTRIES
5	210186	OTHER	WA	LABOR AND INDUSTRIES
6	218748	OTHER	WA	LABOR AND INDUSTRIES

General Provider Information

NPI Number	:	1205059474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON FAMILY CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	20218 77TH AVE NE
Second Line	:	SUITE A
City	:	ARLINGTON
State	:	WA
Zip	:	98223-4602
Country	:	US
Telephone Number	:	360-435-3900
Fax Number	:	360-435-1105

Provider Business Practice Location Address
First Line	:	20218 77TH AVE NE
Second Line	:	SUITE A
City	:	ARLINGTON
State	:	WA
Zip	:	98223-4602
Country	:	US
Telephone Number	:	360-435-3900
Fax Number	:	360-435-1105

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SHAWN GAY
Credential	:	D.C.
Telephone Number	:	360-435-3900

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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Directions to “ARLINGTON FAMILY CHIROPRACTIC PLLC ” Practice Location

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