Provider Demographics
NPI:1992951792
Name:MARRONE, ANDREW HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HOWARD
Last Name:MARRONE
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 1:5709 137TH PL SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-9473
Mailing Address - Country:US
Mailing Address - Phone:425-367-8804
Mailing Address - Fax:425-609-4443
Practice Address - Street 1:1405 AVENUE D
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1713
Practice Address - Country:US
Practice Address - Phone:360-863-3949
Practice Address - Fax:425-863-3984
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60014629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor