MEDICARE: TODD ALLEN WARD DC

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	CH00002798	WA

General Provider Information

NPI Number	:	1326094087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD ALLEN WARD DC

Provider Business Mailing Address
First Line	:	7904 NE 6TH AVE
Second Line	:	STE C
City	:	VANCOUVER
State	:	WA
Zip	:	98665
Country	:	US
Telephone Number	:	360-885-1975
Fax Number	:	360-253-9376

Provider Business Practice Location Address
First Line	:	7904 NE 6TH AVE
Second Line	:	STE C
City	:	VANCOUVER
State	:	WA
Zip	:	98665
Country	:	US
Telephone Number	:	360-885-1975
Fax Number	:	360-253-9376

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/08/2007

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Directions to “ TODD ALLEN WARD DC” Practice Location

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