Provider Demographics
NPI:1972848158
Name:A TOUCH OF HEALTH
Entity Type:Organization
Organization Name:A TOUCH OF HEALTH
Other - Org Name:ADVANCED CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-353-7246
Mailing Address - Street 1:9212 EVERGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7125
Mailing Address - Country:US
Mailing Address - Phone:425-353-7246
Mailing Address - Fax:425-267-0961
Practice Address - Street 1:9212 EVERGREEN WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7125
Practice Address - Country:US
Practice Address - Phone:425-353-7246
Practice Address - Fax:425-267-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOOO2828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU41895Medicare UPIN
WAGAB18615Medicare PIN