Individual
WILLIAM JACK CHOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12905 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0731
(509) 922-0303
(509) 922-0657
Mailing address
12905 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0731
(509) 922-0303
(509) 922-0657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136593
REGENCE BS OF ID ID#
—
01
—
141005
LABOR & INDUSTRIES
WA
01
—
45930
AWHN PROVIDER ID
WA
01
—
617516
ACN PROVIDER ID
WA
01
—
8245CH
ASURIS PROVIDER ID
WA
05
—
8373417
—
WA
Enumeration date
01/22/2007
Last updated
11/29/2007
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