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NPI Code Detail

MEDICARE: ALLIANCE CHIROPRACTIC, INC

MEDICARE: ALLIANCE CHIROPRACTIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic ChiropractorCH00002609WA

General Provider Information

NPI Number : 1134334261
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE CHIROPRACTIC, INC
Provider Business Mailing Address
First Line : 2946 EASTLAKE AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3010
Country : US
Telephone Number : 206-632-5500
Fax Number : 206-632-5601
Provider Business Practice Location Address
First Line : 2946 EASTLAKE AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3010
Country : US
Telephone Number : 206-632-5500
Fax Number : 206-632-5601
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. VIVIAN M. LEDESMA
Credential : D.C.
Telephone Number : 206-632-5500
Provider Enumeration Date : 05/11/2007
Last Update Date : 12/15/2010

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Directions to “ALLIANCE CHIROPRACTIC, INC ” Practice Location

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