Provider Demographics
NPI:1629035571
Name:WINGER, ANDREW MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MICHAEL
Last Name:WINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 CAMAS AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2226
Mailing Address - Country:US
Mailing Address - Phone:425-227-5797
Mailing Address - Fax:
Practice Address - Street 1:1800 NE 44TH ST STE 223
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-9035
Practice Address - Country:US
Practice Address - Phone:206-852-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003570111N00000X
WACHOOOO3570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1154593937OtherGROUP NPI
WAA2031516Medicaid
WA1154593937OtherGROUP NPI
WAGAB08608Medicare PIN