Provider Demographics
NPI:1376781930
Name:CARELOVE CHIROPRACTIC CLINIC, INC.
Entity Type:Organization
Organization Name:CARELOVE CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-712-0307
Mailing Address - Street 1:22315 HWY 99
Mailing Address - Street 2:#B
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8065
Mailing Address - Country:US
Mailing Address - Phone:425-712-0307
Mailing Address - Fax:425-749-7102
Practice Address - Street 1:22315 HWY 99
Practice Address - Street 2:#B
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8003
Practice Address - Country:US
Practice Address - Phone:425-712-0307
Practice Address - Fax:425-749-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH34226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty