Individual provider · Type 1 NPI

Stefan Richard Black, DC

Chiropractor · Bellevue, WA

NPI number 1114082401 Active

Practice location

15100 SE 38th St, 305B
Bellevue, WA 98006

Call (425) 289-0092 Map

Fax (425) 289-0095

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00034220 (WA)

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 1114082401

Stefan Richard Black, DC's National Provider Identifier is 1114082401, issued on Dec 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bellevue, WA. The record was last updated on May 11, 2012.