Organization
WAKELAND CHIROPRACTIC CENTER INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WARREN WAKELAND B.A., D.C. (PRESIDENT)
(253) 566-8800
Entity
Organization
Contact information
Practice address
6412 20TH STREET CT W, FIRCREST, WA 98466-6227
(253) 566-8800
(253) 566-7092
Mailing address
6412 20TH STREET CT W, FIRCREST, WA 98466-6227
(253) 566-8800
(253) 566-7092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002197
WA
111N00000X
Chiropractor
CH00002249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53870
DEPARTMENT OF LABOR & INDUSTRIES
WA
01
—
T86908
UPIN
—
01
—
U27683
UPIN
—
Enumeration date
01/12/2009
Last updated
08/02/2012
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