Individual
DR. JACK W MCINERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4701 AUBURN WAY N, AUBURN, WA 98002-1312
(253) 850-2225
(253) 850-5757
Mailing address
4701 AUBURN WAY N, AUBURN, WA 98002-1312
(253) 850-2225
(253) 850-5757
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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