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Boulom Chiropractic Ps Inc

NPI 1396070488ActiveOrganization· Chiropractor· Lynnwood, WA

Chiropractor in Lynnwood, Washington, registered in NPPES in October 2009. The authorized official on file is Sky Boulom, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1396070488
StatusActive
Entity typeOrganization
NPI issuedOct 8, 2009
Last updated in NPPESJan 23, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000XCH00003526WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

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