1710182746 NPI number — RANGEL CHIROPRACTIC GROUP, PLLC

Table of content: DR. SAMANTHA ADRIENNE MORROW D.O. (NPI 1932462025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710182746 NPI number — RANGEL CHIROPRACTIC GROUP, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RANGEL CHIROPRACTIC GROUP, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710182746
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2025 HARRIS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99354-2018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-582-3549
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1721 W KENNEWICK AVE STE 1A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNEWICK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99336-3377
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-582-3549
Provider Business Practice Location Address Fax Number:
509-586-4313
Provider Enumeration Date:
06/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RANGEL
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
RUBEN
Authorized Official Title or Position:
PRESIDENT-MEMBER
Authorized Official Telephone Number:
509-582-3549

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH00034536 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1326156738 . This is a "NPI #" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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