Individual
JOHN W. EMDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2017 CONTINENTAL PL, SUITE 1, MOUNT VERNON, WA 98273-5649
(360) 424-3900
(360) 424-3900
Mailing address
17400 LITTLE MOUNTAIN PLACE, MOUNT VERNON, WA 98274
(360) 422-5051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2687
CHIROPRACTIC LICENSE
WA
01
—
34896
LABOR & INDUSRIES
WA
01
—
601 428 238 001 0002
UBI #
WA
01
—
91-1575469
TAX ID #
WA
01
—
EM8970
BLUE CROSS BLUE SHIELD
WA
Enumeration date
11/27/2006
Last updated
07/08/2007
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