Provider Demographics
NPI:1659069037
Name:TRACHUK HEALTH SOLUTIONS PLLC
Entity Type:Organization
Organization Name:TRACHUK HEALTH SOLUTIONS PLLC
Other - Org Name:BASE CHIRO AND SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRACHUK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-724-2353
Mailing Address - Street 1:9403 LINDEN AVE N APT 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3247
Mailing Address - Country:US
Mailing Address - Phone:206-724-2353
Mailing Address - Fax:
Practice Address - Street 1:1751 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3034
Practice Address - Country:US
Practice Address - Phone:206-724-2353
Practice Address - Fax:206-455-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty