Provider Demographics
NPI:1578589404
Name:CHO, HERBERT C (DC)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:C
Last Name:CHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:H
Other - Middle Name:CHRISTIAN
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:606 120TH AVE NE
Mailing Address - Street 2:STE D-104
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-455-5444
Mailing Address - Fax:425-646-8047
Practice Address - Street 1:606 120TH AVE NE
Practice Address - Street 2:STE D-104
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-455-5444
Practice Address - Fax:425-646-8047
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA121358OtherL & I
AB04109Medicare ID - Type Unspecified