Organization Name: | CORNERSTONE CHIROPRACTIC INC PS |
NPI Number: | 1245411362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J ILYANKOFF (PRESIDENT-OFFICER) |
Mailing Address: | 2003 132nd St Se Suite E Everett |
State: | WA US |
Postal Code: | 982087140 |
Phone Number: | 4253796301 |
Fax Number: | 4253795761 |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 01/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH00033614 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
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. |