MEDICARE: ADICH CLINIC, P.S.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	225700000X	Massage Therapist
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1679634273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADICH CLINIC, P.S.

Provider Business Mailing Address
First Line	:	1756 IOWA ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-4702
Country	:	US
Telephone Number	:	360-734-9555
Fax Number	:	360-734-9556

Provider Business Practice Location Address
First Line	:	1756 IOWA ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-4702
Country	:	US
Telephone Number	:	360-734-9555
Fax Number	:	360-734-9556

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID J ADICH
Credential	:	D.C.
Telephone Number	:	360-734-9555

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/18/2013

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Directions to “ADICH CLINIC, P.S. ” Practice Location

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