Dr. Jorge A Fraga
Rehabilitation Chiropractor
207 N 3rd Ave
Pasco
, Washington 99301-5315
Dr. Jorge A Fraga
Rehabilitation Chiropractor
207 N 3rd Ave
Pasco
, Washington 99301-5315
(509) 547-4208
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jorge A Fraga
- 207 N 3rd Ave
- Pasco, WA
- Zip : 99301-5315
- Fax : (509) 547-4208
- Phone : (509) 547-4207
Second Address
- Dr. Jorge A Fraga
- 207 N 3rd Ave
- Pasco, WA
- Zip : 99301-5315
- Fax : (509) 547-4208
- Phone : (509) 547-4207
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CH00002378 | WA |
National Provider Identifier
| NPI | 1417083023 |
|---|---|
| Provider Name | Dr. Jorge A Fraga |
| First Address | Pasco, WA 99301-5315 |
| Second Address | Pasco, WA 99301-5315 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CH00002378 | STATE LICENSE NUMBER (01) | 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.