Individual
DR. ERIC RYAN LOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9455 35TH AVE SW, SUITE E, SEATTLE, WA 98126-3898
(206) 932-8320
(206) 932-6941
Mailing address
9455 35TH AVE SW, SUITE E, SEATTLE, WA 98126-3898
(206) 932-8320
(206) 932-6941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457490542
GROUP NPI
WA
01
—
215865
LABOR & INDUSTRIES
WA
01
—
5711LO
REGENCE BLUE SHIELD
WA
01
—
614143800
OWCP
WA
Enumeration date
11/29/2005
Last updated
07/01/2010
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