Organization
SOUTHSIDE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LYNN KELLY - HANSON CA (CHIROPRACTIC ASSISTANT)
(360) 671-8000
Entity
Organization
Contact information
Practice address
2616 MERIDIAN ST, BELLINGHAM, WA 98225-2409
(360) 671-8000
(360) 676-8591
Mailing address
2616 MERIDIAN ST, BELLINGHAM, WA 98225-2409
(360) 671-8000
(360) 676-8591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8800769
MEDICARE GROUP
WA
Enumeration date
10/30/2007
Last updated
05/11/2015
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