J. Marvin Gaddis, NPI 1467592741
Chiropractor in Lake Stevens, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467592741
NPI Entity Type Organization
Provider Name J. Marvin Gaddis
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 905 State Route 9 Ne, Lake Stevens, WA, US
Provider Mailing Address 905 Sr 9 Ne, Lake Stevens, WA, US, 982589484
Is Sole Proprietor? No
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Organization Official

Official Name DC J M Gaddis
Official Position OWNER
Phone 425-334-5066

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

111N00000X

Taxonomy Name Chiropractor
Classification

Chiropractor

Group

Chiropractic Providers

License No. CH00000734
License State WA
Description A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Other Organization Name

LAKE STEVENS CHIROPRACTIC CLINIC
Doing Business As

Business Address

J. Marvin Gaddis
905 State Route 9 Ne

Lake Stevens, WA, US

Phone: 425-334-5066
Fax: 425-335-4787

Mailing Address

J. Marvin Gaddis
905 Sr 9 Ne
Lake Stevens, WA, US
ZIP 982589484
Phone: 425-334-5066
Fax: 425-335-4787

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

111N00000X

Chiropractic Providers

Chiropractor

CH0002638 WA No

111N00000X

Chiropractic Providers

Chiropractor

CH00001249 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
12346880 WA CAQH 01
2016458 WA MEDICAID 05
0291162 WA DEPT. OF LABOR & INDUSTRIES 01
11170071 WA CAQH 01
13819800 WA CAQH 01
0353640 WA DEPT. OF LABOR & INDUSTRIES 01
12014 WA LABOR & INDUSTRIES 01
2319903 WA MEDICAID 05
8864765 WA MEDICARE DR GADDIS 01
2026931 WA MEDICAID 05

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