Doctor Name: | DR. MAXIMILIAN BICOFF |
NPI Number: | 1366831257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH60517754 |
Business Practice Address: | 209 E Casino Rd Ste A Everett, WA - 982082610 |
Business Phone Number: | 4253555222 |
Business Fax Number: | |
Mailing Address: | 7 Dravus St Apt 12, SEATTLE |
State: | WA |
Postal Code: | 981091675 |
Phone Number: | 2062351484 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH60517754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |