Provider Demographics
NPI:1235316522
Name:CATHERINE ENGLEHART DC PS
Entity Type:Organization
Organization Name:CATHERINE ENGLEHART DC PS
Other - Org Name:CATHERINE ENGLEHART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ENGLEHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-706-4515
Mailing Address - Street 1:5029 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3600
Mailing Address - Country:US
Mailing Address - Phone:206-706-4515
Mailing Address - Fax:206-706-4510
Practice Address - Street 1:5029 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3600
Practice Address - Country:US
Practice Address - Phone:206-706-4515
Practice Address - Fax:206-706-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8871015Medicare PIN