Organization
WASHA CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M WASHA DC (PRESIDENT)
(608) 785-7746
Entity
Organization
Contact information
Practice address
1415 STATE ROAD 16, LA CROSSE, WI 54601-2980
(608) 785-7746
(608) 782-2938
Mailing address
1415 HWY 16, LA CROSSE, WI 54601
(608) 785-7746
(608) 782-2938
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2535
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3J348WA
BLUE CROSS BLUE SHIELD
MN
01
—
DH2322
RAILROAD MEDICARE
GA
Enumeration date
03/19/2008
Last updated
11/26/2012
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