DR. JONATHAN ALAN WAN (NPI# 1639329188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639329188 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ALAN WAN |
| Credential | D.C |
| Practice Address |
662 Strander Blvd Tukwila WA 98188-2923 |
| Mailing Address |
458 Monroe Ave Ne Unit 307 Renton WA 98056-8400 |
| Practice Telephone | 4252041575 |
| Mailing Telephone | 2067244557 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 00034878 | WA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944585 | Jonathan Wan | Student in an Organized Health Care Education/Training Program | 51 Pennsylvania St, Orlando, FL 32806-2937 | 2020-05-20 |
| 1114317914 | Jonathan Wan | Pharmacy Technician | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2015-01-31 |
| Street Address |
662 STRANDER BLVD |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437227014 | Karamjit S Virk | Chiropractor | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2006-12-01 |
| 1841607330 | Emily Jones | Chiropractor | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2014-07-16 |
| 1932522398 | Chanel Kelch | Massage Therapist | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2014-01-21 |
| 1801199310 | Karen Lee Chromy | Mechanotherapist | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2010-12-06 |
| 1013152636 | Virk Chiropractic Inc. Ps | Chiropractor | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2008-12-10 |
| 1821243577 | Rebecca Mackenzie Ledzian | Massage Therapist | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2008-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295165108 | Chanil Jung | Chiropractor | 6840 Fort Dent Way Ste 120, Tukwila, WA 98188-2595 | 2013-11-14 |
| 1376842500 | Carmen Cassity | Chiropractor | 13775 Interurban Ave S Apt D102, Tukwila, WA 98168-5128 | 2011-03-28 |
| 1669512455 | Vernon Howard Kaczmarski | Chiropractor | 3459 S 152nd St, Tukwila, WA 98188-2176 | 2007-02-08 |
| 1912051145 | Mark Thomas Huck | Chiropractor | 7100 Fun Center Way, Suite 120, Tukwila, WA 98188-5540 | 2007-01-23 |
| 1437227014 | Karamjit S Virk | Chiropractor | 662 Strander Blvd, Tukwila, WA 98188-2923 | 2006-12-01 |
| 1346345261 | Joseph Leonard Dumovic | Chiropractor | 3480 S 152nd St, Tukwila, WA 98188-2142 | 2006-09-14 |
| 1528529112 | Grace Zel Lee | Chiropractor | 13028 Interurban Ave S Ste 106, Tukwila, WA 98168-3340 | 2019-03-27 |
| 1245576008 | Axis Chiropractic Clinic, Ps | Chiropractor | 3459 S 152nd St, Tukwila, WA 98188-2176 | 2012-12-26 |
| 1821352675 | Washington Chiropractic Pllc | Chiropractor | 7100 Fun Center Way, #120, Tukwila, WA 98188-5540 | 2012-06-26 |
| 1639485279 | Kendra L Buchholz | Chiropractor | 13028 Interurban Ave S, Suite 106, Tukwila, WA 98168-3340 | 2010-08-20 |
| Find all providers in TUKWILA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.