MR. JEFFERY LG WALDDON (NPI# 1982778262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982778262 |
Entity Type | Individual |
Full Name | MR. JEFFERY LG WALDDON |
Credential | DC |
Practice Address |
22833 Bothell - Everett Hwy Ste. 144 Bothell WA 98021-9372 |
Mailing Address |
22833 Bothell - Everett Hwy Ste. 144 Bothell WA 98021 |
Practice Telephone | 4254838525 |
Practice Fax Number | 9282231540 |
Mailing Telephone | 4254838525 |
Mailing Fax Number | 9282231540 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-08-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH00003254 | WA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | BC / BS | 7895 WA | 01 |
WA | L & I | 215199 | 01 |
Street Address |
22833 BOTHELL - EVERETT HWY STE. 144 |
City | BOTHELL |
State | WA |
Zip Code | 98021-9372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
Find all providers in zip 98021 |
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 |
---|---|---|---|---|
1699330035 | Anthony Quintos | Chiropractor | 18920 Bothell Way Ne Ste 100, Bothell, WA 98011-1981 | 2019-05-01 |
1568930394 | Jared Michael Spitz | Chiropractor | 24016 Bothell Everett Hwy Ste B200, Bothell, WA 98021-9361 | 2018-11-09 |
1740755883 | Apex Chiropractic LLC | Chiropractor | 24016 Bothell Everett Hwy # B200, Bothell, WA 98021-9361 | 2018-10-04 |
1801392055 | Cassie Ann Berggren | Chiropractor | 10024 Main St Ste 2, Bothell, WA 98011-3464 | 2018-04-04 |
1275032500 | Kathryn Margaret Telle | Chiropractor | 10024 Main St # 2, Bothell, WA 98011-3464 | 2018-02-01 |
1275987893 | Pacific Coast Wellness Pllc | Chiropractor | 19122 Beardslee Blvd, Suite 105, Bothell, WA 98011-0200 | 2016-04-20 |
1750770939 | Bradi Haggett | Chiropractor | 18536 94th Ave Ne, Bothell, WA 98011-3354 | 2015-01-12 |
1740684018 | Deborah Cotten | Chiropractor | 19122 Beardslee Blvd Ste 105, Bothell, WA 98011-0200 | 2014-10-15 |
1194002154 | Elise Danielle Decamp | Chiropractor | 427 211th Pl Se, Bothell, WA 98021-7587 | 2011-11-04 |
1154455376 | Michael T Ashley Dc PC | Chiropractor | 18001 Bothell Everett Hwy, Ste# 108, Bothell, WA 98012 | 2007-03-16 |
Find all providers in BOTHELL |
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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.