Provider Demographics
NPI:1609043348
Name:WELLNESSCARE INC
Entity Type:Organization
Organization Name:WELLNESSCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WEN-PIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-738-5197
Mailing Address - Street 1:101 SW 41ST ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4974
Mailing Address - Country:US
Mailing Address - Phone:425-738-5197
Mailing Address - Fax:425-738-0826
Practice Address - Street 1:101 SW 41ST ST
Practice Address - Street 2:SUITE J
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4974
Practice Address - Country:US
Practice Address - Phone:425-738-5197
Practice Address - Fax:425-738-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034458111N00000X
WAAC00002664171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty