Provider Demographics
NPI:1346702883
Name:SEATTLE BELTA MEDICINE CORP
Entity Type:Organization
Organization Name:SEATTLE BELTA MEDICINE CORP
Other - Org Name:SEATTLE BELTA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOREILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-801-3894
Mailing Address - Street 1:18904 HIGHWAY 99 STE K
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5219
Mailing Address - Country:US
Mailing Address - Phone:206-801-3894
Mailing Address - Fax:206-902-1325
Practice Address - Street 1:18904 HIGHWAY 99 STE K
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5219
Practice Address - Country:US
Practice Address - Phone:206-801-3894
Practice Address - Fax:206-902-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA603480243OtherBUSINESS LICENSE