Provider Demographics
NPI:1538398581
Name:BIGGAR CHIROPRACTIC CENTER PS
Entity type:Organization
Organization Name:BIGGAR CHIROPRACTIC CENTER PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:BIGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-662-2161
Mailing Address - Street 1:416 NINTH ST.
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-662-2161
Mailing Address - Fax:509-662-2162
Practice Address - Street 1:416 NINTH ST.
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-662-2161
Practice Address - Fax:509-662-2162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH2041261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2459907Medicaid
WA115000591Medicare PIN
WA2459907Medicaid