Provider Demographics
NPI:1164510764
Name:SENG, PHILIP STUART (DC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:STUART
Last Name:SENG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HIGHLANDER POINT DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9465
Mailing Address - Country:US
Mailing Address - Phone:812-923-7648
Mailing Address - Fax:812-923-3708
Practice Address - Street 1:800 HIGHLANDER POINT DR
Practice Address - Street 2:SUITE 206
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9465
Practice Address - Country:US
Practice Address - Phone:812-923-7648
Practice Address - Fax:812-923-3708
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001206A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000042663OtherANTHEM ID NUMBER
KY000000042663OtherANTHEM ID NUMBER
IN243090Medicare ID - Type UnspecifiedMEDICARE NUMBER
KY000000042663OtherANTHEM ID NUMBER