Provider Demographics
NPI:1790944270
Name:FOLWEILER CHIROPRACTIC PS
Entity Type:Organization
Organization Name:FOLWEILER CHIROPRACTIC PS
Other - Org Name:FOLWEILER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLWEILER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-523-3855
Mailing Address - Street 1:10564 5TH AVE NE STE 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7200
Mailing Address - Country:US
Mailing Address - Phone:206-523-3855
Mailing Address - Fax:206-523-5312
Practice Address - Street 1:10564 5TH AVE NE STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7200
Practice Address - Country:US
Practice Address - Phone:206-523-3855
Practice Address - Fax:206-523-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty