Provider Demographics
NPI:1740755883
Name:APEX CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:APEX CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SPITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:971-213-4530
Mailing Address - Street 1:1815 126TH DR SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-9203
Mailing Address - Country:US
Mailing Address - Phone:425-359-8896
Mailing Address - Fax:
Practice Address - Street 1:24016 BOTHELL EVERETT HWY # B200
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9361
Practice Address - Country:US
Practice Address - Phone:971-213-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty