Organization
INTER ISLAND CHIROPRACTIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W FABIANEK D.C. (PROPRIETOR)
(360) 376-2100
Entity
Organization
Contact information
Practice address
441 N BEACH RD, EASTSOUND, WA 98245-8927
(360) 376-2100
(360) 376-6255
Mailing address
PO BOX 955, EASTSOUND, WA 98245-0955
(360) 376-2100
(360) 376-6255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
602 585 485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602 585 485
STATE LICENSE
WA
Enumeration date
05/18/2006
Last updated
08/11/2014
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