1124114582 NPI number — KUDICK CHIROPRACTIC P.S.

Table of content: (NPI 1124114582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124114582 NPI number — KUDICK CHIROPRACTIC P.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KUDICK CHIROPRACTIC P.S.
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:
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:
1124114582
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2252
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLYMPIA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-943-7360
Provider Business Mailing Address Fax Number:
360-754-7022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 COOPER POINT RD SW
Provider Second Line Business Practice Location Address:
BUILDING 24A
Provider Business Practice Location Address City Name:
OLYMPIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-943-7360
Provider Business Practice Location Address Fax Number:
360-754-7022
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUDICK
Authorized Official First Name:
SUZAN
Authorized Official Middle Name:
IRENE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
360-943-7360

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  00002433 , 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)





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