Provider Demographics
NPI:1275855017
Name:AUBURN CHIROPRACTIC CENTER PLLC
Entity Type:Organization
Organization Name:AUBURN CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-833-3990
Mailing Address - Street 1:1428 AUBURN WAY SOUTH
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-6740
Mailing Address - Country:US
Mailing Address - Phone:253-833-3990
Mailing Address - Fax:253-833-3993
Practice Address - Street 1:1428 AUBURN WAY SOUTH
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-6740
Practice Address - Country:US
Practice Address - Phone:253-833-3990
Practice Address - Fax:253-833-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty