Miracle Mile Chiropractic Pc

LBN: Miracle Mile Chiropractic Pc
Miracle Mile Chiropractic Pc is an health care organization with primary practice located at 1102 Kresky Ave , Centralia WA 98531-3732. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Miracle Mile Chiropractic Pc can be contacted via phone (360) 330-1312, or through Mills, Kristina L via phone (360) 330-1312.

Contact Information

Primary practice address
1102 Kresky Ave Centralia WA 98531-3732
Phone: (360) 330-1312
Fax: (360) 330-1320
Website:
Map and Directions
Authorized official contact:
Name: Mills, Kristina L Doctor of Chiropractic (DC)
Phone: (360) 330-1312

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00034049 Washington
Chiropractic Providers / Chiropractor 111N00000X CH00034048 Washington

Profile Details

NPI number 1871620773
LBN Legal business name Miracle Mile Chiropractic Pc
DBA Doing business as
Authorized official Mills, Kristina L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871620773 NPPES
Washington MEDICAID 8349722
Washington Other DB2803
Washington Other 8869221
Washington Other 8903893
Washington Other 0165763
Washington Other 0165765
Washington Other 8869913
Washington Other 8870107
Washington MEDICAID 8349730
Washington Other P00096548
Washington Other 0165764
Washington Other DB2803

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