Individual provider · Type 1 NPI

Justin John Favreau, DC

Chiropractor · Seattle, WA

NPI number 1023194339 Active

Practice location

1225 Dexter Ave North
Seattle, WA 98109

Fax (206) 316-8655

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00034786 (WA)
Chiropractor 111N00000X6129 (CO)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1023194339

Justin John Favreau, DC's National Provider Identifier is 1023194339, issued on Oct 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Seattle, WA. The record was last updated on Mar 13, 2014.