Organization
GLASS CHIROPRACTIC CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA M. GLASS (OFFICE MANAGER)
(509) 484-2044
Entity
Organization
Contact information
Practice address
4407 N DIVISION ST, SUITE 415, SPOKANE, WA 99207-1600
(509) 484-2044
(509) 489-6733
Mailing address
4407 N DIVISION ST, SUITE 415, SPOKANE, WA 99207-1600
(509) 484-2044
(509) 489-6733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104845
L&I
WA
01
—
663230
AETNA
—
01
—
GL7135
ASURIS
—
Enumeration date
05/03/2007
Last updated
10/11/2007
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