Provider Demographics
NPI:1689787913
Name:CHAN, BRIAN WILHOI (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:WILHOI
Last Name:CHAN
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 1:159 DENNY WAY
Mailing Address - Street 2:#306
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178
Mailing Address - Country:US
Mailing Address - Phone:206-898-3938
Mailing Address - Fax:
Practice Address - Street 1:12419 RENTAN AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178
Practice Address - Country:US
Practice Address - Phone:206-772-0088
Practice Address - Fax:206-772-5420
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor