Provider Demographics
NPI:1194721316
Name:DAWSON, JOHN A (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:DAWSON
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 1:1820 100TH PL SE
Mailing Address - Street 2:STE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3868
Mailing Address - Country:US
Mailing Address - Phone:425-337-5800
Mailing Address - Fax:425-337-5801
Practice Address - Street 1:1820 100TH PL SE
Practice Address - Street 2:STE A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3868
Practice Address - Country:US
Practice Address - Phone:425-337-5800
Practice Address - Fax:425-337-5801
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor