Provider Demographics
NPI:1174741862
Name:ALBRIGHT, JEFFREY JOHN (DC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:JOHN
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SAMISH WAY STE 202
Mailing Address - Street 2:SUITE 635
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2901
Mailing Address - Country:US
Mailing Address - Phone:360-746-8378
Mailing Address - Fax:360-485-4440
Practice Address - Street 1:1304 MEADOR AVE STE 105
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5847
Practice Address - Country:US
Practice Address - Phone:607-468-3783
Practice Address - Fax:360-485-4440
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5515111N00000X
WA60667861111N00000X
UT9588195-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COV00952Medicare UPIN