Organization Name: | NEUROPATHY NORTHWEST HEALTH & WELLNESS CENTER |
NPI Number: | 1245579622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BECKY JESKE (OFFICE MANAGER) |
Mailing Address: | 203 E Dalke Ave Spokane |
State: | WA US |
Postal Code: | 992088112 |
Phone Number: | 5095902306 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |