Provider Demographics
NPI:1003977844
Name:YIP, WAI P (DC)
Entity Type:Individual
Prefix:
First Name:WAI
Middle Name:P
Last Name:YIP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1206
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-3206
Mailing Address - Country:US
Mailing Address - Phone:253-851-1733
Mailing Address - Fax:253-851-4333
Practice Address - Street 1:3312 ROSEDALE ST NW
Practice Address - Street 2:SUITE 104
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1804
Practice Address - Country:US
Practice Address - Phone:253-851-1733
Practice Address - Fax:253-851-4333
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT02826Medicare UPIN