Provider Demographics
NPI:1215700372
Name:AMOS CHON DC PLLC
Entity type:Organization
Organization Name:AMOS CHON DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:YOUNG WON
Authorized Official - Last Name:CHON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-270-7614
Mailing Address - Street 1:25339 128TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6605
Mailing Address - Country:US
Mailing Address - Phone:406-270-7614
Mailing Address - Fax:
Practice Address - Street 1:27641 COVINGTON WAY SE # 2
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-9120
Practice Address - Country:US
Practice Address - Phone:253-630-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty