Individual
DR. MARK BABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10618 SE KENT KANGLEY RD, SUITE 104, KENT, WA 98030-9048
(253) 859-5433
(253) 859-4887
Mailing address
10618 SE KENT KANGLEY RD, SUITE 104, KENT, WA 98030-9048
(253) 859-5433
(253) 859-4887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104390100
OSWC FEDERAL WORKERS COMP
—
01
—
126230
DEPT OF L&I
WA
01
—
BA7421
REGENCE BLUE SHIELD
WA
Enumeration date
12/11/2006
Last updated
10/08/2009
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