Unknown Individual – Chiropractor, NPI 1205919149

Unknown Individual is a healthcare provider. based in Edgewood, Washington. specializing in Chiropractor. They hold a License No. 1572 (SC). The NPI Number for Unknown Individual is 1205919149

Main info

Organization
Inactive
35 Years Of Experience
Name
Unknown Individual
NPI
1205919149
Phone
(253) 927-7721
Address
2908 MERIDIAN AVE E
Deactivation Date
22 March 2021

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
2567620511
Professional Enrollment ID
I20120221001109
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2908, Meridian Avenue East, Edgewood, Pierce County, Washington, 98371, United States

    SUITE #103

    EDGEWOOD, WA 983712190

    Phone: (253) 927-7721

    Fax: (253) 841-9390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98371)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1205919149.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Edgewood, Washington?
For routing, start with Edgewood, Washington for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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