Provider Demographics
NPI:1720360118
Name:HEALTH FIRST CHIROPRACTIC INC. PS
Entity Type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC INC. PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:LENARZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-855-1021
Mailing Address - Street 1:1818 EAST MERCER STREET,
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112
Mailing Address - Country:US
Mailing Address - Phone:206-327-9328
Mailing Address - Fax:
Practice Address - Street 1:1818 E MERCER ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4687
Practice Address - Country:US
Practice Address - Phone:206-327-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH FIRST CHIROPRACTIC INC. PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60164151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty