Healthcare Provider Details

I. General information

NPI: 1164544581
Provider Name (Legal Business Name): SILBER SPINAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 5TH AVE
SEATTLE WA
98121-1517
US

IV. Provider business mailing address

2609 5TH AVE
SEATTLE WA
98121-1517
US

V. Phone/Fax

Practice location:
  • Phone: 425-417-2679
  • Fax:
Mailing address:
  • Phone: 425-417-2679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3332
License Number StateWA

VIII. Authorized Official

Name: LAWRENCE SILBER
Title or Position: OWNER
Credential: D.C.
Phone: 425-417-2679