Individual
DR. JERRY F DALLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1509 BROADWAY, BELLINGHAM, WA 98225-3037
(360) 733-3775
(360) 647-1936
Mailing address
1509 BROADWAY, BELLINGHAM, WA 98225-3037
(360) 733-3775
(360) 647-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014529
DEPT OF L AND I
WA
01
—
CH00001047
STATE OF WA
WA
Enumeration date
07/07/2005
Last updated
07/08/2007
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