GREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC
NPI 1649440918
Chiropractor in Seattle, WA

Active since March 03, 2008
1408 N 80TH ST, SEATTLE, WA 98103(206) 523-0121(206) 523-0341 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Lake Chiropractic & Nutritional Healing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC (NPI 1649440918) is a healthcare organization registered as a chiropractor in Seattle, Washington and active in the NPI registry since March 2008. The organization lists Steven Polenz, President, as its authorized official.

NPPES Registry Identity

NPI1649440918
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC
Location Address1408 N 80TH STSeattle, WA 98103-4421
Mailing Address1408 N 80th StSeattle, WA 98103-4421 · (206) 523-0121 · Fax (206) 523-0341
Fax(206) 523-0341
Organization SubpartNo
Authorized OfficialSteven PolenzPresident · (206) 523-0121
Enumeration DateMarch 3, 2008
NPI 1649440918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1408 N 80TH ST, Seattle, WA 98103

Other Identifiers 1

Medicare PINABO2190WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1408 N 80TH ST
SEATTLE, WA 98103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Lake Chiropractic & Nutritional Healing LLC's NPI number?

The NPI number for Green Lake Chiropractic & Nutritional Healing LLC is 1649440918. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Green Lake Chiropractic & Nutritional Healing LLC located?

Green Lake Chiropractic & Nutritional Healing LLC is located at 1408 N 80th St, Seattle, WA 98103. The listed phone number is (206) 523-0121.

What is Green Lake Chiropractic & Nutritional Healing LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Green Lake Chiropractic & Nutritional Healing LLC was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.