Healthcare Provider Details

I. General information

NPI: 1922177476
Provider Name (Legal Business Name): ALAN E. SINNER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23040 PACIFIC HWY S STE 100
DES MOINES WA
98198-7268
US

IV. Provider business mailing address

13636 SE 297TH ST
AUBURN WA
98092-2109
US

V. Phone/Fax

Practice location:
  • Phone: 253-848-3300
  • Fax:
Mailing address:
  • Phone: 253-848-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1991
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: