Healthcare Provider Details

I. General information

NPI: 1043375496
Provider Name (Legal Business Name): EDWARD H. YEE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 S 347TH PL
FEDERAL WAY WA
98003-6718
US

IV. Provider business mailing address

1107 S 347TH PL
FEDERAL WAY WA
98003-6718
US

V. Phone/Fax

Practice location:
  • Phone: 253-838-3777
  • Fax: 253-874-6874
Mailing address:
  • Phone: 253-838-3777
  • Fax: 253-874-6874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00003586
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: