Healthcare Provider Details

I. General information

NPI: 1053640136
Provider Name (Legal Business Name): YINGBAI ZHU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2009
Last Update Date: 10/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S WELLER ST
SEATTLE WA
98104-2924
US

IV. Provider business mailing address

621 S WELLER ST
SEATTLE WA
98104-2924
US

V. Phone/Fax

Practice location:
  • Phone: 206-359-0247
  • Fax: 206-748-5168
Mailing address:
  • Phone: 206-359-0247
  • Fax: 206-748-5168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberMA 00016918
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 60175383
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: