Provider Demographics
NPI:1720116106
Name:ZOHRABIAN, ARA (CHIROPRACTOR)
Entity Type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:ZOHRABIAN
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 140TH AVE NE
Mailing Address - Street 2:STE 202
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3400
Mailing Address - Country:US
Mailing Address - Phone:425-462-6604
Mailing Address - Fax:425-562-3492
Practice Address - Street 1:875 140TH AVE NE
Practice Address - Street 2:STE 202
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3400
Practice Address - Country:US
Practice Address - Phone:425-462-6604
Practice Address - Fax:425-562-3492
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU54858Medicare UPIN