Healthcare Provider Details

I. General information

NPI: 1851569180
Provider Name (Legal Business Name): LUDWIG CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 LAKE TAPPS PKWY E SUITE E105
AUBURN WA
98092-8158
US

IV. Provider business mailing address

1408 LAKE TAPPS PKWY E SUITE E105
AUBURN WA
98092-8158
US

V. Phone/Fax

Practice location:
  • Phone: 253-735-0123
  • Fax: 253-735-0759
Mailing address:
  • Phone: 253-735-0123
  • Fax: 253-735-0759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00001452
License Number StateWA

VIII. Authorized Official

Name: DR. ALAN STEVEN LUDWIG
Title or Position: OWNER/DIRECTOR
Credential: D.C.
Phone: 253-735-0123