MEDICARE: TONGSINGYIU, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00033812	WA

General Provider Information

NPI Number	:	1629205778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TONGSINGYIU, LLC

Provider Business Mailing Address
First Line	:	2206 QUEEN ANNE AVE N
Second Line	:	SUITE 201
City	:	SEATTLE
State	:	WA
Zip	:	98109-2370
Country	:	US
Telephone Number	:	206-378-5755
Fax Number	:	206-219-0556

Provider Business Practice Location Address
First Line	:	2206 QUEEN ANNE AVE N
Second Line	:	SUITE 201
City	:	SEATTLE
State	:	WA
Zip	:	98109-2370
Country	:	US
Telephone Number	:	206-378-5755
Fax Number	:	206-219-0556

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. SAMUEL TONG
Credential	:	D.C.
Telephone Number	:	206-378-5755

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	08/26/2011

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Directions to “TONGSINGYIU, LLC ” Practice Location

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