Healthcare Provider Details

I. General information

NPI: 1376572354
Provider Name (Legal Business Name): HEALTH EXCELLENCE CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 35TH AVE NE SUITE B
SEATTLE WA
98115-2500
US

IV. Provider business mailing address

9425 35TH AVE NE SUITE B
SEATTLE WA
98115-2500
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-6335
  • Fax: 206-524-2459
Mailing address:
  • Phone: 206-524-6335
  • Fax: 206-524-2459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SUSHIL VASUDEVA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 206-524-6335