Provider Demographics
NPI:1194484592
Name:SOUND CHIROPRACTIC CARELLC
Entity type:Organization
Organization Name:SOUND CHIROPRACTIC CARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILHELM
Authorized Official - Middle Name:B
Authorized Official - Last Name:ECKROTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-442-0327
Mailing Address - Street 1:242 32ND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6324
Mailing Address - Country:US
Mailing Address - Phone:262-442-0327
Mailing Address - Fax:
Practice Address - Street 1:16150 NE 85TH ST STE 110
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3541
Practice Address - Country:US
Practice Address - Phone:425-636-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty