Provider Demographics
NPI:1689744633
Name:ERKEL, THOMAS RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RICHARD
Last Name:ERKEL
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 1:2300 130TH AVE NE
Mailing Address - Street 2:BLDG. A, SUITE 103
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1755
Mailing Address - Country:US
Mailing Address - Phone:425-881-2000
Mailing Address - Fax:425-881-2021
Practice Address - Street 1:2300 130TH AVE NE
Practice Address - Street 2:BLDG. A, SUITE 103
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1755
Practice Address - Country:US
Practice Address - Phone:425-881-2000
Practice Address - Fax:425-881-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU11484Medicare UPIN