Provider Demographics
NPI:1063591766
Name:BESS, CHAD WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:WILLIAM
Last Name:BESS
Suffix:
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 1:13811 E RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0894
Mailing Address - Country:US
Mailing Address - Phone:509-389-1856
Mailing Address - Fax:
Practice Address - Street 1:13701 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0715
Practice Address - Country:US
Practice Address - Phone:509-928-8869
Practice Address - Fax:509-928-8874
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 00034347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0180733OtherL&I NUMBER
WACH 00034347OtherSTATE LICENSE NUMBER
WA0180733OtherL&I NUMBER