Provider Demographics
NPI:1760781405
Name:CHANT, ROBERT II (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:CHANT
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 243RD PL SE UNIT G202
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-6928
Mailing Address - Country:US
Mailing Address - Phone:253-548-5829
Mailing Address - Fax:
Practice Address - Street 1:24000 VAN RY BLVD STE 108
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-5461
Practice Address - Country:US
Practice Address - Phone:425-678-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60419729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor