Healthcare Provider Details

I. General information

NPI: 1144403304
Provider Name (Legal Business Name): SILVER CITY CHIROPRACTIC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NW BUCKLIN HILL RD STE 101
SILVERDALE WA
98383-8359
US

IV. Provider business mailing address

3100 NW BUCKLIN HILL RD STE 101
SILVERDALE WA
98383-8359
US

V. Phone/Fax

Practice location:
  • Phone: 360-613-5711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3599
License Number StateWA

VIII. Authorized Official

Name: DR. JOSEPH CHRISTMAN
Title or Position: PRESIDENT
Credential: D.C
Phone: 360-613-5711