Provider Demographics
NPI:1093983587
Name:SEATTLE WELLNESS GROUP, P.S.
Entity Type:Organization
Organization Name:SEATTLE WELLNESS GROUP, P.S.
Other - Org Name:SEATTLE CHIROPRACTIC & MASSAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:BAJWA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-826-1289
Mailing Address - Street 1:3611 WOODLAND PARK AVE N
Mailing Address - Street 2:#100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7905
Mailing Address - Country:US
Mailing Address - Phone:206-826-1289
Mailing Address - Fax:
Practice Address - Street 1:3611 WOODLAND PARK AVE N
Practice Address - Street 2:#100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7905
Practice Address - Country:US
Practice Address - Phone:206-826-1289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty