| Seattle Northeast Chiropractic | |
|
11734 15th Ave Ne, Seattle, WA 98125-5026 | |
| (206) 364-9501 | |
| Not Available |
| Full Name | Seattle Northeast Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11734 15th Ave Ne, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922563782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Chong Il Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922468982 PECOS PAC ID: 4587934500 Enrollment ID: I20170725001874 |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Northeast Chiropractic 11734 15th Ave Ne, Seattle, WA 98125-5026 Ph: (206) 364-9501 | Seattle Northeast Chiropractic 11734 15th Ave Ne, Seattle, WA 98125-5026 Ph: (206) 364-9501 |
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