Provider Demographics
NPI:1194844621
Name:ONTRAK CHIROPRACTIC, PS
Entity Type:Organization
Organization Name:ONTRAK CHIROPRACTIC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-848-3300
Mailing Address - Street 1:13636 SE 297TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-2109
Mailing Address - Country:US
Mailing Address - Phone:253-848-3300
Mailing Address - Fax:
Practice Address - Street 1:23040 PACIFIC HWY S STE 100
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-7268
Practice Address - Country:US
Practice Address - Phone:253-848-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty