Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1729 | WA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1729 | WA |
NPI | 1508911447 |
---|---|
Provider Name | Dr. Gregory Carl Zografos |
First Address | Everett, WA 98204-6368 |
Second Address | Everett, WA 98204-6368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 22/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0179721 | LABOR AND INDUSTRIES (01) | WA |
408006001 | GROUP HEALTH (01) | WA |
58732 | LABOR & INDUSTRIES (01) | WA |
G8898783 | (02) | WA |
R76533 | REGENCE (01) | WA |
T02416 | (02) | WA |