Provider Demographics
NPI:1972675569
Name:ABSOLUTE HEALTH CORPORATION PS
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CORPORATION PS
Other - Org Name:ACTIVE CHIROPRACTIC RESORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:PATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-248-2321
Mailing Address - Street 1:116 S 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3204
Mailing Address - Country:US
Mailing Address - Phone:509-248-2321
Mailing Address - Fax:509-248-2323
Practice Address - Street 1:116 S 11TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3204
Practice Address - Country:US
Practice Address - Phone:509-248-2321
Practice Address - Fax:509-248-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty