Provider Demographics
NPI:1922182575
Name:MJ BEST CHIROPRACTIC, INC
Entity type:Organization
Organization Name:MJ BEST CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEST
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:360-331-3646
Mailing Address - Street 1:1832 SCOTT RD
Mailing Address - Street 2:B-1
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-9475
Mailing Address - Country:US
Mailing Address - Phone:360-331-3646
Mailing Address - Fax:
Practice Address - Street 1:1832 SCOTT RD
Practice Address - Street 2:B-1
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9475
Practice Address - Country:US
Practice Address - Phone:360-331-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA50738OtherREGENCE BLUESHIELD
WAT02889Medicare UPIN
WAAB26268Medicare ID - Type UnspecifiedMEDICARE CORP NUMBER