Provider Demographics
NPI:1972864395
Name:ALCHEMY ENTERPRISES INC
Entity type:Organization
Organization Name:ALCHEMY ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON-LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-983-8700
Mailing Address - Street 1:P.O. BOX 146
Mailing Address - Street 2:424 WILLIAMS ST
Mailing Address - City:MOSSYROCK
Mailing Address - State:WA
Mailing Address - Zip Code:98564-0146
Mailing Address - Country:US
Mailing Address - Phone:360-983-8700
Mailing Address - Fax:360-983-8507
Practice Address - Street 1:424 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:MOSSYROCK
Practice Address - State:WA
Practice Address - Zip Code:98564-0146
Practice Address - Country:US
Practice Address - Phone:360-983-8700
Practice Address - Fax:360-983-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty