Provider Demographics
NPI:1639377302
Name:ONE FAMILY CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:ONE FAMILY CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANG
Authorized Official - Middle Name:KYUNG
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-741-9927
Mailing Address - Street 1:17410 HIGHWAY 99 STE 150
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3632
Mailing Address - Country:US
Mailing Address - Phone:425-741-9927
Mailing Address - Fax:425-741-0465
Practice Address - Street 1:17410 HIGHWAY 99 STE 150
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3632
Practice Address - Country:US
Practice Address - Phone:425-741-9927
Practice Address - Fax:425-741-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty