Individual
DR. VINCE L FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18211 E APPLEWAY, GREENACRES, WA 99016
(509) 926-1551
(509) 926-1661
Mailing address
PO BOX 340, 18211 E APPLEWAY, GREENACRES, WA 99016
(509) 926-1551
(509) 926-1661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14817
L I
WA
05
—
2315505
—
WA
01
—
350016953
RR MEDICARE
WA
01
—
E11435
ASURIS
WA
Enumeration date
10/16/2006
Last updated
05/19/2008
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