Ellensburg Chiropractic,ps
NPI 1720307382ActiveOrganization· Chiropractor· Ellensburg, WA
Chiropractor in Ellensburg, Washington, registered in NPPES in May 2010. The authorized official on file is Gary L. Favero, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720307382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2010 |
| Last updated in NPPES | Mar 28, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | WA |
| Anesthesiology, Pain Medicine | 207LP2900X | MD00047820 | WA |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | MD00047820 | WA |
| Massage Therapist | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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