MEDICARE: MR. MYUNG SUK CHOI D.C., L.AC, EAMP

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	CH00034519	WA
2	171100000X	Acupuncturist	AC60127707	WA
3	111N00000X	Chiropractor	29810	CA
4	171100000X	Acupuncturist	11401	CA

General Provider Information

NPI Number	:	1649379439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MYUNG SUK CHOI D.C., L.AC, EAMP

Provider Business Mailing Address
First Line	:	1207 N 200TH ST
Second Line	:	SUITE 211
City	:	SHORELINE
State	:	WA
Zip	:	98133-3213
Country	:	US
Telephone Number	:	206-629-8011
Fax Number	:

Provider Business Practice Location Address
First Line	:	1207 N 200TH ST
Second Line	:	SUITE 211
City	:	SHORELINE
State	:	WA
Zip	:	98133-3213
Country	:	US
Telephone Number	:	206-629-8011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	02/13/2011

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