Individual
DR. JACK W MCINERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0002412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55469
DEPT OF L&I
WA
05
—
8377947
—
WA
Enumeration date
05/18/2007
Last updated
01/09/2008
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