Provider Demographics
NPI:1831319169
Name:CHOE, DAVID Y (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:Y
Last Name:CHOE
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 1:1175 NW GILMAN BLVD STE B5
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5375
Mailing Address - Country:US
Mailing Address - Phone:425-313-8950
Mailing Address - Fax:
Practice Address - Street 1:1175 NW GILMAN BLVD STE B5
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5375
Practice Address - Country:US
Practice Address - Phone:425-313-8950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB18886Medicare ID - Type UnspecifiedCHIROPRACTIC
WAU76047Medicare UPIN