Provider Demographics
NPI:1649379439
Name:CHOI, MYUNG SUK (DC, LAC, EAMP)
Entity Type:Individual
Prefix:MR
First Name:MYUNG
Middle Name:SUK
Last Name:CHOI
Suffix:
Gender:M
Credentials:DC, LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 N 200TH ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3213
Mailing Address - Country:US
Mailing Address - Phone:206-629-8011
Mailing Address - Fax:
Practice Address - Street 1:1207 N 200TH ST
Practice Address - Street 2:SUITE 211
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3213
Practice Address - Country:US
Practice Address - Phone:206-629-8011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034519111N00000X
WAAC60127707171100000X
CA29810111N00000X
CA11401171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist