Provider Demographics
NPI:1356538912
Name:CROSSROADS CHIROPRACTIC INC.
Entity type:Organization
Organization Name:CROSSROADS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-746-7841
Mailing Address - Street 1:15821 NE 8TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3959
Mailing Address - Country:US
Mailing Address - Phone:425-746-7841
Mailing Address - Fax:
Practice Address - Street 1:15821 NE 8TH ST STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3959
Practice Address - Country:US
Practice Address - Phone:425-746-7841
Practice Address - Fax:425-746-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB38491Medicare PIN
U24056Medicare UPIN