=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609043348
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELLNESSCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2008
-----------------------------------------------------
Last Update Date | 06/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 SW 41ST ST SUITE J
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057-4974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-738-5197
-----------------------------------------------------
Fax | 425-738-0826
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 SW 41ST ST SUITE J
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057-4974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-738-5197
-----------------------------------------------------
Fax | 425-738-0826
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. WEN-PIN HOU
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 425-738-5197
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC00002664
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH00034458
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------