Provider Demographics
NPI:1841821691
Name:JJ CHIROPRACTIC
Entity type:Organization
Organization Name:JJ CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-373-5433
Mailing Address - Street 1:3715 FACTORIA BLVD SE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-6147
Mailing Address - Country:US
Mailing Address - Phone:425-373-5433
Mailing Address - Fax:425-643-5422
Practice Address - Street 1:3715 FACTORIA BLVD SE STE B
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-6147
Practice Address - Country:US
Practice Address - Phone:425-373-5433
Practice Address - Fax:425-643-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty