Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH00033824 | WA |
N | 111NS0005X | Chiropractic Sports Physician | CH00033824 | WA |
N | 111NX0100X | Occupational Health | CH00033824 | WA |
NPI | 1558434241 |
---|---|
Provider Name | Dr. Werner Georg Karl Von Marksfeld-Fuhrherr |
First Address | Seattle, WA 98109-6304 |
Second Address | Seattle, WA 98109-6304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 27/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5118VO | (02) | WA |