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NPI Code Detail

MEDICARE: DR. ADAM PHANEUF D.C.

MEDICARE: DR. ADAM PHANEUF 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
1111N00000XChiropractorCH 60445584WA

General Provider Information

NPI Number : 1235553058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM PHANEUF D.C.
Provider Business Mailing Address
First Line : 909 SQUALICUM WAY
Second Line : SUITE 108
City : BELLINGHAM
State : WA
Zip : 98225-2077
Country : US
Telephone Number : 360-739-5679
Fax Number :
Provider Business Practice Location Address
First Line : 909 SQUALICUM WAY
Second Line : SUITE 108
City : BELLINGHAM
State : WA
Zip : 98225-2077
Country : US
Telephone Number : 360-739-5679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2014
Last Update Date : 03/01/2017

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Directions to “ DR. ADAM PHANEUF D.C.” Practice Location

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