Healthcare Provider Details

I. General information

NPI: 1497768345
Provider Name (Legal Business Name): NATE A FLODING DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 BISHOP RD SW
TUMWATER WA
98512-7354
US

IV. Provider business mailing address

PO BOX 11542
OLYMPIA WA
98508-1542
US

V. Phone/Fax

Practice location:
  • Phone: 360-459-9000
  • Fax: 360-459-9183
Mailing address:
  • Phone: 360-459-9000
  • Fax: 360-459-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034051
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: