MEDICARE: DR. BRIAN ROBERT SWEENY 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	CH61475441	WA

General Provider Information

NPI Number	:	1992578298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN ROBERT SWEENY DC

Provider Business Mailing Address
First Line	:	PO BOX 252
Second Line	:
City	:	BINGEN
State	:	WA
Zip	:	98605-0252
Country	:	US
Telephone Number	:	509-493-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W STEUBEN ST STE 1
Second Line	:
City	:	BINGEN
State	:	WA
Zip	:	98605-9175
Country	:	US
Telephone Number	:	509-493-0555
Fax Number	:

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

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	10/30/2023

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