MEDICARE: JOHN A DAWSON D.C.

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
1	111N00000X	Chiropractor	795	WA

General Provider Information

NPI Number	:	1194721316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A DAWSON D.C.

Provider Business Mailing Address
First Line	:	1820 100TH PL SE
Second Line	:	STE A
City	:	EVERETT
State	:	WA
Zip	:	98208-3868
Country	:	US
Telephone Number	:	425-337-5800
Fax Number	:	425-337-5801

Provider Business Practice Location Address
First Line	:	1820 100TH PL SE
Second Line	:	STE A
City	:	EVERETT
State	:	WA
Zip	:	98208-3868
Country	:	US
Telephone Number	:	425-337-5800
Fax Number	:	425-337-5801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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Directions to “ JOHN A DAWSON D.C.” Practice Location

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