Healthcare Provider Details

I. General information

NPI: 1598846040
Provider Name (Legal Business Name): THE CHIROPRACTORS CLINIC, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 02/12/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 NW BUCKIN HILL RD
SILVERDALE WA
98383-8503
US

IV. Provider business mailing address

PO BOX 483
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-3140
  • Fax: 360-692-1441
Mailing address:
  • Phone: 360-698-3140
  • Fax: 360-692-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001522
License Number StateWA

VIII. Authorized Official

Name: DR. DAVID W STEDMAN
Title or Position: CLINIC DIRECTOR
Credential: D.C.
Phone: 360-698-3140