Organization
MIDLAND CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ULMER DC (OWNER)
(253) 535-0186
Entity
Organization
Contact information
Practice address
10422 PORTLAND AVE E, TACOMA, WA 98445-5240
(253) 535-0186
(253) 535-8814
Mailing address
PO BOX 5202, KENT, WA 98064-5202
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109410
DLI
WA
05
—
2024255
—
WA
01
—
UL6768
REGENCE
WA
Enumeration date
02/04/2009
Last updated
02/04/2009
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