PREMIER CHIROPRACTIC 4 PLLC NPI 1205028826

NPI Information

  • NPI: 1205028826
  • Provider Name: PREMIER CHIROPRACTIC 4 PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Former Legal Business Name: PACIFIC VILLAGE CHIROPRACTIC
  • Address: 1299 156TH AVE NE STE 123
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 614-4000

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NPI Details

PREMIER CHIROPRACTIC 4 PLLC is a chiropractor in Bellevue, WA. The provider is 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. PREMIER CHIROPRACTIC 4 PLLC NPI is 1205028826. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pacific Village Chiropractic.

The provider's business location address is:

1299 156TH AVE NE STE 123
BELLEVUE, WA
ZIP 98007-562
Phone: (425) 614-4000
Fax: (425) 641-0880

The provider's authorized official is Lilly Hansen .
The authorized official title is Office Manager and has the following contact phone number (425) 614-4000.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 5/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA00013538WASHINGTONNo
2111N00000XChiropractorCH00034325WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1602211018OTHERWASHINGTONUBI #
2AB32903MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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