Provider Demographics
NPI:1376066357
Name:SCHUSTER, LEE ALEXANDER (DC ATC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ALEXANDER
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:DC ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4529 4TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4812
Mailing Address - Country:US
Mailing Address - Phone:716-536-1923
Mailing Address - Fax:
Practice Address - Street 1:101 NICKERSON ST STE 140
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-1620
Practice Address - Country:US
Practice Address - Phone:206-486-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012958111N00000X
WA60758736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor