Provider Demographics
NPI:1174574743
Name:EARLY, PAUL C (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:EARLY
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 1:820 NE NORTHGATE WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7312
Mailing Address - Country:US
Mailing Address - Phone:206-440-7700
Mailing Address - Fax:206-440-8900
Practice Address - Street 1:820 NE NORTHGATE WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7312
Practice Address - Country:US
Practice Address - Phone:206-440-7700
Practice Address - Fax:206-440-8900
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009378111N00000X
WACH00034649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU94608Medicare UPIN
WAG8861793Medicare PIN