Westenhaver, Ty Charles
Westenhaver, Ty Charles is an sole proprietor health care provider with primary practice located at 7127 196Th St Sw Suite 101, Lynnwood WA 98036-5078. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Westenhaver, Ty Charles can be contacted via phone (425) 775-6986.Contact Information
Primary practice address
7127 196Th St Sw Suite 101
Lynnwood WA 98036-5078
Phone: (425) 775-6986
Fax: (425) 774-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00001933 | Washington |
Profile Details
| NPI number | 1073571501 |
|---|---|
| LBN Legal business name | Westenhaver, Ty Charles |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 21st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073571501 | NPPES |
| Other | R75544 | REGENCE | |
| Other | AB04137 | REGENCE |
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