Provider Demographics
NPI:1295539146
Name:FAHOUM HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:FAHOUM HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONAWAR
Authorized Official - Middle Name:THAFER
Authorized Official - Last Name:FAHOUM-BICKNESE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-525-8015
Mailing Address - Street 1:2111 N NORTHGATE WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9018
Mailing Address - Country:US
Mailing Address - Phone:206-525-8015
Mailing Address - Fax:
Practice Address - Street 1:2111 N NORTHGATE WAY STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9018
Practice Address - Country:US
Practice Address - Phone:206-525-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty