Individual
NEAL B VITALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
26708 180TH AVE SE, SUITE 102, COVINGTON, WA 98042-4969
(253) 630-9777
(253) 630-9806
Mailing address
26708 180TH AVE SE, SUITE 102, COVINGTON, WA 98042-4969
(253) 630-9777
(253) 630-9806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186869
DEPT. OF LABOR & I
WA
01
—
3246VI
REGENCE
WA
Enumeration date
09/20/2006
Last updated
07/08/2007
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