Provider Demographics
NPI:1174765184
Name:FIRST CHOICE HEALTH CENTER,INC.
Entity type:Organization
Organization Name:FIRST CHOICE HEALTH CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUNGHO
Authorized Official - Middle Name:
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-775-1313
Mailing Address - Street 1:3333 184TH ST SW
Mailing Address - Street 2:#R
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4724
Mailing Address - Country:US
Mailing Address - Phone:425-775-1313
Mailing Address - Fax:
Practice Address - Street 1:3333 184TH ST SW
Practice Address - Street 2:#R
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4724
Practice Address - Country:US
Practice Address - Phone:425-775-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA34706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0240877OtherL&I
WARIDER #6799JAOtherRECENCE
WARIDER #6799JAOtherRECENCE