Provider Demographics
NPI:1285012500
Name:PM HEALTH GROUP PLLC
Entity type:Organization
Organization Name:PM HEALTH GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCVEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-267-8188
Mailing Address - Street 1:6314 19TH ST W
Mailing Address - Street 2:SUITE # 11
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6223
Mailing Address - Country:US
Mailing Address - Phone:263-268-8188
Mailing Address - Fax:253-267-8187
Practice Address - Street 1:6314 19TH ST W
Practice Address - Street 2:SUITE # 11
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6223
Practice Address - Country:US
Practice Address - Phone:263-268-8188
Practice Address - Fax:253-267-8187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60376079111N00000X
WACH00001762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8928541Medicare UPIN
WAG8852620Medicare UPIN