Provider Demographics
NPI:1275919060
Name:KING PLAZA CHIROPRACTIC
Entity Type:Organization
Organization Name:KING PLAZA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-721-7200
Mailing Address - Street 1:6951 MARTIN LUTHER KING JR WAY S STE 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3545
Mailing Address - Country:US
Mailing Address - Phone:206-721-7200
Mailing Address - Fax:206-339-7200
Practice Address - Street 1:6951 MARTIN LUTHER KING JR WAY S STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3545
Practice Address - Country:US
Practice Address - Phone:206-721-7200
Practice Address - Fax:206-339-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60288517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty