Individual
DR. SUSHIL VASUDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9425 35TH AVE NE, SUITE B, SEATTLE, WA 98115-2500
(206) 524-6335
(206) 524-2459
Mailing address
9425 35TH AVE NE, SUITE B, SEATTLE, WA 98115-2500
(206) 524-6335
(206) 524-2459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103256
LABOR & INDUSTRY NUMBER
WA
01
—
111628
LABOR & INDUSTRY GROUP NU
WA
01
—
8869069
MEDICARE GROUP NUMBER
WA
01
—
VAO633
REGENCE RIDER NUMBER
WA
Enumeration date
03/22/2007
Last updated
12/17/2007
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