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Organization

UNIVERSITY PLACE CHIROPRACTIC INC

Active
Other names
University Place Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEU WILLIAMS D.C. (CHIROPRACTOR)
(253) 566-2225
Entity
Organization

Contact information

Practice address
2607 BRIDGEPORT WAY W, SUITE 1D, UNIVERSITY PLACE, WA 98466-4700
(253) 566-2225
Mailing address
2607 BRIDGEPORT WAY W, SUITE 1D, UNIVERSITY PLACE, WA 98466-4700
(253) 566-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00003505
WA
111N00000X
Chiropractor
Primary
CH00034392
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0187492
L&I THOMAS WILLIAMS
WA
01
117001
L&I MATTHEU WILLIAMS
WA
01
537922990
THOMAS WILLIAMS DC TAX ID
WA
01
WI4950
REGENCE MATTHEU WILLIAMS
WA
Enumeration date
02/22/2007
Last updated
06/26/2015
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