Healthcare Provider Details

I. General information

NPI: 1548588577
Provider Name (Legal Business Name): ACI CLINIC & WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 MARKET ST STE 3000
KIRKLAND WA
98033-5457
US

IV. Provider business mailing address

1313 MARKET ST STE 3000
KIRKLAND WA
98033-5457
US

V. Phone/Fax

Practice location:
  • Phone: 425-285-9020
  • Fax: 425-285-9018
Mailing address:
  • Phone: 425-285-9020
  • Fax: 425-285-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LINGYI FAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 425-285-9020