Provider Demographics
NPI:1043653579
Name:SETTELS, PHILIP (LAC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:SETTELS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-4031
Mailing Address - Country:US
Mailing Address - Phone:510-910-1577
Mailing Address - Fax:916-604-9974
Practice Address - Street 1:1614 X ST STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2300
Practice Address - Country:US
Practice Address - Phone:916-287-0980
Practice Address - Fax:916-604-9974
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14679171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist