Provider Demographics
NPI:1982775813
Name:TONG, JOHN (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:TONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18021 15TH AVE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:206-524-1330
Mailing Address - Fax:
Practice Address - Street 1:18021 15TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155
Practice Address - Country:US
Practice Address - Phone:206-524-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH3421111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA113496OtherLABOR AND INDUSTRIES
WA2049826OtherUNITED HEALTHCARE
WA8933099OtherLABOR AND IND - CRIME VIC
WATO 3482OtherREGENCE
WATO 3482OtherREGENCE
WA8933099OtherLABOR AND IND - CRIME VIC