Provider Demographics
NPI:1174665400
Name:WHITE AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:WHITE AND ASSOCIATES LLC
Other - Org Name:SYNERGY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-820-8837
Mailing Address - Street 1:15603 MAIN STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012
Mailing Address - Country:US
Mailing Address - Phone:425-357-1105
Mailing Address - Fax:425-379-9771
Practice Address - Street 1:15603 MAIN STREET
Practice Address - Street 2:SUITE 106 SYNERGY CHIROPRACTIC
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012
Practice Address - Country:US
Practice Address - Phone:425-357-1105
Practice Address - Fax:425-379-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0194783OtherLABOR & INDUSTRY
WA8851557Medicare ID - Type Unspecified