Provider Demographics
NPI:1629205778
Name:TONGSINGYIU, LLC
Entity Type:Organization
Organization Name:TONGSINGYIU, LLC
Other - Org Name:WHOLE HEALTH WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-378-5755
Mailing Address - Street 1:2206 QUEEN ANNE AVE N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2370
Mailing Address - Country:US
Mailing Address - Phone:206-378-5755
Mailing Address - Fax:206-219-0556
Practice Address - Street 1:2206 QUEEN ANNE AVE N
Practice Address - Street 2:SUITE 201
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2370
Practice Address - Country:US
Practice Address - Phone:206-378-5755
Practice Address - Fax:206-219-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB13148Medicare PIN