Provider Demographics
NPI:1558843862
Name:URGENT CARE CHIROPRACTIC - AUBURN
Entity Type:Organization
Organization Name:URGENT CARE CHIROPRACTIC - AUBURN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALNOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANJI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-431-5343
Mailing Address - Street 1:3910 196TH ST SW STE E
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5770
Mailing Address - Country:US
Mailing Address - Phone:253-929-8398
Mailing Address - Fax:
Practice Address - Street 1:1340 M ST SE STE C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-6755
Practice Address - Country:US
Practice Address - Phone:253-929-8398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty