Organization
ZILLAH CHIROPRACTIC CENTER INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JAMES CARMACK DC (CHIROPRACTOR OWNER)
(509) 829-6101
Entity
Organization
Contact information
Practice address
513 1ST AVE, ZILLAH, WA 98953
(509) 829-6101
(509) 829-6101
Mailing address
PO BOX 1841, ZILLAH, WA 98953-1841
(509) 829-6101
(509) 829-6101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034056
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026052
—
WA
01
—
AB29039
MEDICARE GROUP
WA
01
—
AB29040
MEDICARE INDIVIUAL
WA
01
—
U87239
UPIN
WA
Enumeration date
08/06/2007
Last updated
10/14/2010
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