1831323609 NPI number — WRIGHT LIFE CHIROPRACTIC

Table of content: (NPI 1831323609)

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

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".




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