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NPI Code Detail

MEDICARE: DR. KEITH W MOREHOUSE DC

MEDICARE:  DR. KEITH W MOREHOUSE  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
1111N00000XChiropractorCH00003545WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1912048481OTHERWATAX ID#
2130422OTHERWAL&I NUMBER

General Provider Information

NPI Number : 1376555854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH W MOREHOUSE DC
Provider Business Mailing Address
First Line : 1303 S GRAND BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1136
Country : US
Telephone Number : 509-838-2225
Fax Number : 509-755-2225
Provider Business Practice Location Address
First Line : 1303 S GRAND BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1136
Country : US
Telephone Number : 509-838-2225
Fax Number : 509-755-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 02/27/2014

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Directions to “ DR. KEITH W MOREHOUSE DC” Practice Location

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