Organization
509 CHIROPRACTIC LLC
Active
Other names
HealthSource Chiropractic of Pasco
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON HESLOP DC (DOCTOR OF CHIROPRACTIC)
(509) 346-5822
Entity
Organization
Contact information
Practice address
1211 N 20TH AVE, PASCO, WA 99301-4051
(509) 547-1759
(509) 547-1759
Mailing address
1211 N 20TH AVE, PASCO, WA 99301-4051
(509) 547-1759
(509) 547-1759
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403568
LNI NUMBER
WA
Enumeration date
10/10/2019
Last updated
10/10/2019
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