Organization
CARL H. JELSTRUP, DC, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL H JELSTRUP DC (OWNER)
(425) 467-6633
Entity
Organization
Contact information
Practice address
1 LAKE BELLEVUE DR, SUITE 100, BELLEVUE, WA 98005-2417
(425) 467-6633
Mailing address
227 BELLEVUE WAY NE, SUITE 378, BELLEVUE, WA 98004-5721
(425) 467-6633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000756
WA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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