1831323609 NPI number — WRIGHT LIFE CHIROPRACTIC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831323609 NPI number — WRIGHT LIFE CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WRIGHT LIFE CHIROPRACTIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831323609
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1299 156TH AVE NE
Provider Second Line Business Mailing Address:
123
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98007-4599
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-614-4000
Provider Business Mailing Address Fax Number:
425-641-0880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1299 156TH AVE NE
Provider Second Line Business Practice Location Address:
123
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98007-4599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-614-4000
Provider Business Practice Location Address Fax Number:
425-641-0880
Provider Enumeration Date:
05/08/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
425-614-4000

Provider Taxonomy Codes

  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 602866819000 . This is a "UBI #" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".