Provider Demographics
NPI:1770623092
Name:ACUPUNCTURE & CHIROPRACTIC EXCELLENCE, INC
Entity type:Organization
Organization Name:ACUPUNCTURE & CHIROPRACTIC EXCELLENCE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAI HA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:POON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:425-821-7300
Mailing Address - Street 1:11404 NE 124TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4305
Mailing Address - Country:US
Mailing Address - Phone:425-821-7300
Mailing Address - Fax:425-821-7400
Practice Address - Street 1:11404 NE 124TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4305
Practice Address - Country:US
Practice Address - Phone:425-821-7300
Practice Address - Fax:425-821-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034247111N00000X
WAAC00002534171100000X
WACH00034418111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8852850Medicare PIN