Provider Demographics
NPI:1972984375
Name:PINNACLE HEALTH CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:PINNACLE HEALTH CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ABLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-749-6527
Mailing Address - Street 1:12040 98TH AVE NE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4290
Mailing Address - Country:US
Mailing Address - Phone:425-749-6527
Mailing Address - Fax:425-460-9170
Practice Address - Street 1:12040 98TH AVE NE
Practice Address - Street 2:SUITE 104
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4290
Practice Address - Country:US
Practice Address - Phone:425-749-6527
Practice Address - Fax:425-460-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty