BREWSTER CHIROPRACTIC CENTER (NPI# 1164768776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164768776 |
| Entity Type | Organization |
| Organization Name | BREWSTER CHIROPRACTIC CENTER |
| Practice Address |
319 East Main Ave Brewster WA 98812 |
| Mailing Address |
Po Box 1521 Brewster WA 98812-1521 |
| Practice Telephone | 5096893516 |
| Practice Fax Number | 5096893516 |
| Mailing Telephone | 5096893516 |
| Mailing Fax Number | 5096893516 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DR. TYLER RYAN COPENHAVER (0WNER/CHIROPRACTOR) |
| Authorized Official Telephone | 5096893516 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60304364 | WA | Chiropractic Providers |
| Street Address |
319 EAST MAIN AVE |
| City | BREWSTER |
| State | WA |
| Zip Code | 98812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861744260 | Tyler Ryan Copenhaver | Chiropractor | 319 East Main Ave, Brewster, WA 98812-1731 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
| 1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
| Find all providers in zip 98812 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114335916 | Jacqueline Demayo | Chiropractor | 979 Route 22 Ste 2, Brewster, NY 10509-1526 | 2014-07-25 |
| 1861744260 | Tyler Ryan Copenhaver | Chiropractor | 319 East Main Ave, Brewster, WA 98812-1731 | 2012-10-09 |
| 1932305562 | Tracy Dean Shrable | Chiropractor | 343 Main Street., Brewster, WA 98812-1251 | 2007-06-21 |
| 1669554333 | Anne Brandon | Chiropractor | 979 Route 22, Suite B, Brewster, NY 10509-1526 | 2006-10-20 |
| 1619074069 | Paul C Ciatto | Chiropractor | 1620 Towne Center - Rte.22, Brewster Chiropractic Care, Brewster, NY 10509 | 2006-09-20 |
| 1770680126 | Craig M Tilden | Chiropractor | North East Physical Medicine & Rehabilitation, 1620 Towne Center - Route 22, Brewster, NY 10509 | 2006-09-20 |
| 1750357851 | Renold J Statler | Chiropractor | 979 Route 22 Ste B, Brewster, NY 10509-1526 | 2006-02-27 |
| 1326029687 | Michael B Singleton | Chiropractor | 1573 Route 6a, Brewster, MA 02631-1719 | 2005-11-14 |
| 1962765735 | Advanced Chiropractic Wellness Care | Chiropractor | 979 Route 22, Brewster, NY 10509-1526 | 2012-06-18 |
| 1083868608 | Stephen R Tag | Chiropractor | 1573 Main St, Brewster, MA 02631-1719 | 2008-11-10 |
| Find all providers in BREWSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.