Provider Demographics
NPI:1922487982
Name:ACE CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:ACE CHIROPRACTIC, INC
Other - Org Name:SE JUN JI , DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SE JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-380-7951
Mailing Address - Street 1:930 S 336TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6384
Mailing Address - Country:US
Mailing Address - Phone:253-252-2415
Mailing Address - Fax:253-235-5681
Practice Address - Street 1:930 S 336TH ST STE E
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6384
Practice Address - Country:US
Practice Address - Phone:253-252-2415
Practice Address - Fax:253-235-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-23
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60169609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty