Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1082 | WA |
NPI | 1427070721 |
---|---|
Provider Name | Dr. John Michael Cloakey |
First Address | Snohomish, WA 98290-2916 |
Second Address | Snohomish, WA 98290-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/07/2007 |