Provider Demographics
NPI:1053640136
Name:ZHU, YINGBAI (DC)
Entity Type:Individual
Prefix:DR
First Name:YINGBAI
Middle Name:
Last Name:ZHU
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 1:621 S WELLER ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2924
Mailing Address - Country:US
Mailing Address - Phone:206-359-0247
Mailing Address - Fax:206-748-5168
Practice Address - Street 1:621 S WELLER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2924
Practice Address - Country:US
Practice Address - Phone:206-359-0247
Practice Address - Fax:206-748-5168
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00016918171100000X
WACH 60175383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty