Organization
CHIROPRACTIC HEALTHCARE CENTER, P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD QUINT COCKRELL D.C. (D.C.)
(253) 863-5323
Entity
Organization
Contact information
Practice address
15324 MAIN ST E STE B, SUMNER, WA 98390-2698
(253) 863-5323
(253) 863-2034
Mailing address
15324 MAIN ST E STE B, SUMNER, WA 98390-2698
(253) 863-5323
(253) 863-2034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119433
LNI GROUP
WA
01
—
601367608
UBI NUMBER
WA
01
—
CH00034177
LICENSE #
WA
Enumeration date
11/15/2006
Last updated
12/28/2011
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