Provider Demographics
NPI:1316131584
Name:WHOLE HEALTH CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:WHOLE HEALTH CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-313-8950
Mailing Address - Street 1:1175 NW GILMAN BLVD
Mailing Address - Street 2:B5
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5399
Mailing Address - Country:US
Mailing Address - Phone:425-313-9491
Mailing Address - Fax:
Practice Address - Street 1:1175 NW GILMAN BLVD
Practice Address - Street 2:B5
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5399
Practice Address - Country:US
Practice Address - Phone:425-313-9491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty