Provider Demographics
NPI:1710277736
Name:SERENITY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:SERENITY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:AARDAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-602-5863
Mailing Address - Street 1:15821 NE 8TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3957
Mailing Address - Country:US
Mailing Address - Phone:626-602-5863
Mailing Address - Fax:425-746-1213
Practice Address - Street 1:15821 NE 8TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3957
Practice Address - Country:US
Practice Address - Phone:626-602-5863
Practice Address - Fax:425-746-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60021342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1396902508OtherPROVIDER NPI