MR. JEFFERY LG WALDDON


Address: 22833 Bothell - Everett Hwy, Ste. 144, Bothell, WA 98021-9372
Phone: 4254838525

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CH00003254 WA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA BC / BS 7895 WA 01
WA L & I 215199 01

Office Location

Street Address 22833 BOTHELL - EVERETT HWY
STE. 144
City BOTHELL
State WA
Zip Code 98021-9372

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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
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1225302722 Lynette Patricia Hansen Massage Therapist 510 222nd Street Sw, Bothell, WA 98021 2012-03-01
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BOTHELL
Zip Code 98021

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Dataset Information

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.

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