SSFC PS

Chiropractor · Marysville, WA

Organization Active NPI

NPI number 1972723641

Practice location

919 State Ave Ste 102
Marysville, WA 98270-4284
Phone
(360) 653-6010
Fax
(360) 653-6008

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NPI record

NPI
1972723641
Entity type
Organization (Type 2)
Enumeration date
April 26, 2007
Last updated
January 6, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH00003460 WA

Authorized official

Name
Dr. Gordon A Myco, DC
Title
Chiropractor Owner
Phone
(360) 653-6010

Other names

  • State Street Family Chiropractic

About SSFC PS

SSFC PS is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 919 State Ave Ste 102, Marysville, WA 98270-4284. The NPI number 1972723641 was assigned on April 26, 2007 and the record was last updated on January 6, 2009.

SSFC PS lists a license in the registry: #CH00003460 (WA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Gordon A Myco, DC, Chiropractor Owner.

Frequently asked questions

What is the NPI number of SSFC PS?

The NPI number is 1972723641.

What is the phone number of SSFC PS?

The phone number listed for the practice location is (360) 653-6010.

Where is SSFC PS located?

919 State Ave Ste 102, Marysville, WA 98270-4284.

What is the taxonomy code for SSFC PS?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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