Organization
AXIS CHIROPRACTIC CLINIC, PS
Active
Parent organization
AXIS CHIROPRACTIC CLINIC, PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXIS CHIROPRACTIC CLINIC, PS
Authorized official
VERNON HOWARD KACZMARSKI D.C. (CHIROPRACTOR)
(206) 241-2225
Entity
Organization
Contact information
Practice address
3459 S 152ND ST, TUKWILA, WA 98188-2176
(206) 241-2225
(206) 241-5562
Mailing address
3459 S 152ND ST, TUKWILA, WA 98188-2176
(206) 241-2225
(206) 241-5562
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306831
DEPT. OF LABOR & INDUSTRIES
WA
05
—
2014876
—
WA
01
—
391945651
AMERICAN WHOLEHEALTH NETWORK
WA
01
—
KA0067
BLUE CROSS/BLUE SHIELD
WA
Enumeration date
12/26/2012
Last updated
06/25/2013
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