Organization Name: | NON-SURGICAL SPINE CARE CENTER |
NPI Number: | 1326237330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAE KYUNG CHANG (CLINIC DIRECTOR) |
Mailing Address: | 1240 116th Ave Ne # 101 Bellevue |
State: | WA US |
Postal Code: | 980043815 |
Phone Number: | 4254553472 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH00034775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |