Provider Demographics
NPI:1164065843
Name:ALLIANCE WELLNESS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALLIANCE WELLNESS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASUD
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-941-6622
Mailing Address - Street 1:3642 33RD AVE S STE C1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-6951
Mailing Address - Country:US
Mailing Address - Phone:206-725-2225
Mailing Address - Fax:877-297-8212
Practice Address - Street 1:3642 33RD AVE S STE C1
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6951
Practice Address - Country:US
Practice Address - Phone:206-725-2225
Practice Address - Fax:877-297-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty