Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH00033649 | WA |
N | 111NI0013X | Independent Medical Examiner | CH00033649 | WA |
N | 111NR0400X | Rehabilitation Chiropractor | CH00033649 | WA |
NPI | 1487844056 |
---|---|
Provider Name | Dr. Alnoor Bhanji |
First Address | Federal Way, WA 98003 |
Second Address | Federal Way, WA 98003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 30/07/2007 |