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Organization

CHAMPION FAMILY CHIROPRACTIC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R CHAMPION D.C. (OWNER)
(509) 935-2225
Entity
Organization

Contact information

Practice address
103 E MAIN AVE, CHEWELAH, WA 99109-8960
(509) 935-2225
(509) 935-2273
Mailing address
PO BOX 203, CHEWELAH, WA 99109-0203
(509) 935-2225
(509) 935-2273

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033990
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0144619
WORK COMP
WA
05
2024990
WA
Enumeration date
10/04/2005
Last updated
12/02/2008
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