Provider Demographics
NPI:1376572354
Name:HEALTH EXCELLENCE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:HEALTH EXCELLENCE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:VASUDEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-524-6335
Mailing Address - Street 1:9425 35TH AVE NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2500
Mailing Address - Country:US
Mailing Address - Phone:206-524-6335
Mailing Address - Fax:206-524-2459
Practice Address - Street 1:9425 35TH AVE NE
Practice Address - Street 2:SUITE B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2500
Practice Address - Country:US
Practice Address - Phone:206-524-6335
Practice Address - Fax:206-524-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8869069OtherMEDICARE GROUP NUMBER
WAU64504Medicare UPIN