Healthcare Provider Details

I. General information

NPI: 1295720373
Provider Name (Legal Business Name): PATRICIA DAWN FICHTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 E SPRAGUE AVE
SPOKANE VALLEY WA
99216-0811
US

IV. Provider business mailing address

13701 E SPRAGUE AVE
SPOKANE VALLEY WA
99216-0811
US

V. Phone/Fax

Practice location:
  • Phone: 509-922-5585
  • Fax: 509-927-7336
Mailing address:
  • Phone: 509-922-5585
  • Fax: 509-927-7336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIA-1446
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60263620
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: