FERNDALE CHIROPRACTIC CLINIC LLC (NPI# 1992150346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992150346 |
| Entity Type | Organization |
| Organization Name | FERNDALE CHIROPRACTIC CLINIC LLC |
| Practice Address |
2376 Main St Ste 1 Ferndale WA 98248-8605 |
| Mailing Address |
Po Box 1256 Ferndale WA 98248-1256 |
| Practice Telephone | 3603124656 |
| Practice Fax Number | 3603928732 |
| Mailing Telephone | 3603124656 |
| Mailing Fax Number | 3603928732 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | PIERRE R CONSTANTIN (OWNER) |
| Authorized Official Telephone | 3603193485 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0001782 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHIELD | 063990000 | 01 |
| WA | 2091205 | 05 | |
| WA | GROUP HEALTH | 456782001 | 01 |
| Street Address |
2376 MAIN ST STE 1 |
| City | FERNDALE |
| State | WA |
| Zip Code | 98248-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700431855 | Bobbie Bartholomew | Massage Therapist | 2376 Main St Ste 1, Ferndale, WA 98248-8605 | 2019-08-06 |
| 1033623046 | Alyssa Irving | Massage Therapist | 2376 Main St Ste 1, Ferndale, WA 98248-8605 | 2017-11-29 |
| 1386092120 | Jacque Larue | Massage Therapist | 2376 Main St Ste 1, Ferndale, WA 98248-8605 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050833 | Cascade Connections | In Home Supportive Care | 1354 Pacific Place, Suite 101, Ferndale, WA 98248 | 2020-07-21 |
| 1073135976 | Amrit Kaur | Respiratory Therapist, Certified | 6158 North Star Rd, Ferndale, WA 98248 | 2020-05-13 |
| 1437668563 | Marcie Ann Logan | Registered Nurse | 5661 Eagle Parkway, Apt. 4, Ferndale, WA 98248 | 2017-09-20 |
| 1215468640 | Crystal Dawn Phipps | Pharmacist | 5655 3rd Ave., Ferndale, WA 98248 | 2017-03-27 |
| 1295143568 | Marion L Winisky | Registered Nurse | 2350 Douglas Rd #40, Ferndale, WA 98248 | 2014-07-30 |
| 1225472186 | Loops Flexbrush, LLC | Durable Medical Equipment & Medical Supplies | 7152 Everett Rd, Ferndale, WA 98248 | 2013-04-23 |
| 1982984043 | Anthony Allen Gardiner | Dentist | 2030 Alder St, Ferndale, WA 98248 | 2011-08-22 |
| 1942592696 | Norman Tang | Pharmacist | 2057 Alder Street, Ferndale, WA 98248 | 2011-05-12 |
| 1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
| 1770724965 | Michael Alexander Glen | Pharmacist | Haggen Food and Pharmacy, 1815 Main Street, Ferndale, WA 98248 | 2009-03-17 |
| Find all providers in zip 98248 | ||||
| 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 |
|---|---|---|---|---|
| 1053826867 | Kyle Hawkins | Chiropractor | 569 E 9 Mile Rd, Ferndale, MI 48220-1952 | 2017-12-04 |
| 1114352549 | Ariel Blackburn | Chiropractor | 641 W 9 Mile Rd Ste C, Ferndale, MI 48220-1779 | 2013-09-04 |
| 1316205818 | Crystal Wrubel | Chiropractor | 811 Livernois St, Ferndale, MI 48220-2308 | 2012-05-03 |
| 1124215793 | Dr. Bridget A. Devlin, Pllc | Chiropractor | 569 E. 9 Mile Rd., Ferndale, MI 48220 | 2007-09-27 |
| 1487879219 | Brigette Bowler | Chiropractor | 23158 Woodward Ave, Ferndale, MI 48220-1341 | 2007-04-16 |
| 1285757310 | Terry R. Rouse | Chiropractor | 2116 Main Street, Ferndale, WA 98248 | 2007-04-06 |
| 1568597342 | Susan M Constantin | Chiropractor | 2017 Main St., Ferndale, WA 98248-1992 | 2007-02-22 |
| 1538202668 | Pierre R Constantin | Chiropractor | 2376 Main Street, Suite 1, Ferndale, WA 98248-1256 | 2007-02-15 |
| 1659410454 | Mark Alexander Mielke | Chiropractor | 5630 3rd St, Ferndale, WA 98248 | 2007-02-06 |
| 1952448896 | Constantin Chiropractic Clinic PC | Chiropractor | 2017 Main St, Ferndale, WA 98248-1992 | 2007-01-31 |
| Find all providers in FERNDALE | ||||
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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.