J. Marvin Gaddis, NPI 1467592741
Chiropractor in Lake Stevens, WA, US
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 |
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 | |
| Taxonomy Name | Chiropractor |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| CH0002638 | WA | No | |||
| 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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