Healthcare Provider Details

I. General information

NPI: 1467581496
Provider Name (Legal Business Name): CHIROPRACTIC PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N ARGONNE RD SUITE A
SPOKANE VALLEY WA
99212-2874
US

IV. Provider business mailing address

409 N ARGONNE RD SUITE A
SPOKANE VALLEY WA
99212-2874
US

V. Phone/Fax

Practice location:
  • Phone: 509-924-7311
  • Fax: 509-924-4408
Mailing address:
  • Phone: 509-924-7311
  • Fax: 509-924-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH00001832
License Number StateWA

VIII. Authorized Official

Name: MR. MICHAEL A BAKER
Title or Position: OWNER,DOCTOR
Credential: DC
Phone: 509-924-7311