Provider Demographics
NPI:1558904995
Name:CHAN, LIK SHUN (DC)
Entity Type:Individual
Prefix:DR
First Name:LIK SHUN
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:NELSON
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14136
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98114-0136
Mailing Address - Country:US
Mailing Address - Phone:206-233-0818
Mailing Address - Fax:206-292-9340
Practice Address - Street 1:900 S JACKSON ST STE 117
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3056
Practice Address - Country:US
Practice Address - Phone:206-233-0818
Practice Address - Fax:206-292-9340
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60997017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor