Provider Demographics
NPI:1710019344
Name:FALETTI, ELIZABETH JANE (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JANE
Last Name:FALETTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 N PITTSBURGH ST STE B
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8213
Mailing Address - Country:US
Mailing Address - Phone:509-736-3348
Mailing Address - Fax:
Practice Address - Street 1:1409 N PITTSBURGH ST STE B
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8213
Practice Address - Country:US
Practice Address - Phone:509-736-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA116161OtherDEPT. OF L&I PROVIDER NUM
WA8928723OtherCRIME VICTIMS ID #
WA8928723OtherCRIME VICTIMS ID #
WAU66935Medicare UPIN
WAGAB01131Medicare PIN