Dr. Jeffrey L Holmes
Chiropractor Orthopedic Specialist
17615 85th Avenue Ct E
Puyallup
, Washington 98375-1859
Dr. Jeffrey L Holmes
Chiropractor Orthopedic Specialist
17615 85th Avenue Ct E
Puyallup
, Washington 98375-1859
(253) 848-6603
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey L Holmes
- 17615 85th Avenue Ct E
- Puyallup, WA
- Zip : 98375-1859
- Phone : (253) 848-6603
Second Address
- Dr. Jeffrey L Holmes
- 17615 85th Avenue Ct E
- Puyallup, WA
- Zip : 98375-1859
- Phone : (253) 848-6603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2705 | WA |
National Provider Identifier
| NPI | 1366555765 |
|---|---|
| Provider Name | Dr. Jeffrey L Holmes |
| First Address | Puyallup, WA 98375-1859 |
| Second Address | Puyallup, WA 98375-1859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 04/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2705 | WA CHIRO LICENSE # (01) | WA |
| 31159 | L&I (01) | WA |
| 350050140 | RAILROAD MEDICARE (01) | WA |
| 5448436 | AETNA PROVIDER # (01) | WA |
| 601-879-408 | WA UBI# (01) | WA |
| 91-192704 | FEDERAL TAX ID # (01) | WA |
| H04731 | REGENCE (01) | WA |
| U35585 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.