Organization
MARK T GOODMAN, D.C.
Active
Other names
Goodman Chiropractic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS GOODMAN DC (CHIROPRACTOR OWNER)
(360) 377-1626
Entity
Organization
Contact information
Practice address
3421 KITSAP WAY, SUITE B, BREMERTON, WA 98312-2601
(360) 377-1626
(360) 377-1903
Mailing address
3421 KITSAP WAY, SUITE B, BREMERTON, WA 98312-2601
(360) 377-1626
(360) 377-1903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042155
WA LABOR INDUSTRIES
WA
01
—
GO6107
REGENCE BLUE SHIELD
WA
Enumeration date
04/03/2007
Last updated
04/16/2020
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