| Organization Name: | ADVANCED HEALTH CHIROPRACTIC, INC. |
| NPI Number: | 1003094509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TYREN JAY BRATVOLD (OWNER/PRESIDENT) |
| Mailing Address: | 702 South Hill Park Dr Suite 101 Puyallup |
| State: | WA US |
| Postal Code: | 983731426 |
| Phone Number: | 2538403232 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | CH00003571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |