Provider Demographics
NPI:1316388952
Name:SEO, YOUNG JOON (DC)
Entity Type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:JOON
Last Name:SEO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30640 PACIFIC HWY S STE D
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4889
Mailing Address - Country:US
Mailing Address - Phone:206-592-6648
Mailing Address - Fax:
Practice Address - Street 1:30640 PACIFIC HWY S STE D
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4889
Practice Address - Country:US
Practice Address - Phone:206-592-6648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60337038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor