Individual
DR. WAYNE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1211 N 20TH AVE, PASCO, WA 99301
(509) 547-1759
Mailing address
1211 N 20TH AVE, PASCO, WA 99301
(509) 547-1759
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005162299
AETNA
WA
01
—
146894146896
PREMERA BLUE CROSS
WA
05
—
2020519
—
WA
01
—
36281
LABOR & INDUSTRIES
WA
01
—
653633
ACN
WA
01
—
911678952F001
PREMERA BLUE CROSS FEP
WA
01
—
93621468940001
PREMERA BC NASCO
WA
Enumeration date
11/08/2006
Last updated
07/08/2007
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