Organization
EMDE CHIROPRACTIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W EMDE DC (PRESIDENT)
(360) 424-3900
Entity
Organization
Contact information
Practice address
2017 CONTINENTAL PL, SUITE 1, MOUNT VERNON, WA 98273-5649
(360) 424-3900
(360) 424-3900
Mailing address
2017 CONTINENTAL PL, SUITE 1, MOUNT VERNON, WA 98273-5649
(360) 424-3900
(360) 424-3900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34896
LABOR & INDUSTRIES
WA
01
—
EM8970
BLUE CROSS BLUE SHILD
WA
Enumeration date
01/12/2012
Last updated
01/12/2012
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