DR. MARC Y VAN DRIESSCHE (NPI# 1417041419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417041419 |
| Entity Type | Individual |
| Full Name | DR. MARC Y VAN DRIESSCHE |
| Credential | D.C. |
| Practice Address |
12704 Mukilteo Speedway Ste C Mukilteo WA 98275-5720 |
| Practice Telephone | 4252901919 |
| Practice Fax Number | 4253539690 |
| Mailing Telephone | 4252901919 |
| Mailing Fax Number | 4253539690 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3284 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS NUMBER | 2019560 | 01 |
| Street Address |
12704 MUKILTEO SPEEDWAY STE C |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184884108 | Van Driessche Chiropractic P.s. | Preferred Provider Organization | 12704 Mukilteo Speedway Ste C, Mukilteo, WA 98275-5720 | 2008-06-12 |
| 1174733315 | Melissa Ann Fulfer | Massage Therapist | 12704 Mukilteo Speedway Ste C, Mukilteo, WA 98275-5720 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| 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 |
|---|---|---|---|---|
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1023443249 | Monte James Alton | Chiropractor | 12138 Mukilteo Speedway, Suite M103, Mukilteo, WA 98275-5713 | 2013-09-06 |
| 1457696544 | Christine Beasley | Chiropractor | 8423 Mukilteo Speedway, Suite 101, Mukilteo, WA 98275-3237 | 2012-11-30 |
| 1487909602 | Peter Salama | Chiropractor | 11700 Mukilteo Speedway Ste 203, Mukilteo, WA 98275-5436 | 2012-07-14 |
| 1861628901 | Mukilteo Chiropractic Clinic, Pllc | Chiropractor | 8004 Mukilteo Speedway Ste 1, Mukilteo, WA 98275-2653 | 2009-06-03 |
| 1841315314 | Bradley Geisler | Chiropractor | 8227 44th Ave W Ste C, Mukilteo, WA 98275-2848 | 2007-03-20 |
| 1518006329 | Hyun H Kim | Chiropractor | 6720 Waterton Cirlce, Mukilteo, WA 98275 | 2007-02-06 |
| 1770019333 | Cmr Chiropractic, Pllc | Chiropractor | 11811 Mukilteo Speedway Ste 105, Mukilteo, WA 98275-5442 | 2017-05-02 |
| 1154869113 | Randi Pickett | Chiropractor | 11811 Mukilteo Speedway Ste 105, Mukilteo, WA 98275-5442 | 2017-02-09 |
| 1114296241 | Family Chiropractic Center Inc | Chiropractor | 8227 44th Ave W, Suite C, Mukilteo, WA 98275-2815 | 2011-12-19 |
| Find all providers in MUKILTEO | ||||
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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.