Provider Demographics
NPI:1023038528
Name:SEEGERS, CHERRELYN MARYE (DC)
Entity Type:Individual
Prefix:
First Name:CHERRELYN
Middle Name:MARYE
Last Name:SEEGERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 E MAGNOLIA ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4559
Mailing Address - Country:US
Mailing Address - Phone:360-647-1970
Mailing Address - Fax:360-647-0668
Practice Address - Street 1:511 E MAGNOLIA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4559
Practice Address - Country:US
Practice Address - Phone:360-647-1970
Practice Address - Fax:360-647-0668
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU 64675Medicare UPIN
WA8857527Medicare ID - Type Unspecified