Organization
PERMEN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PERMEN D.C. (MEMBER)
(360) 354-6800
Entity
Organization
Contact information
Practice address
260 BAY LYN DR, LYNDEN, WA 98264-9464
(360) 354-6800
(360) 937-1399
Mailing address
260 BAY LYN DR, LYNDEN, WA 98264-9464
(360) 354-6800
(360) 937-1399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001920
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189056
DLI
WA
01
—
6020
DLI
WA
01
—
653559
ACN
WA
01
—
668920
ACN
WA
Enumeration date
04/17/2007
Last updated
05/02/2012
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