Provider Demographics
NPI:1376254540
Name:SENCZYSZYN, ABBEY J (CPO, MBA, MPO)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:J
Last Name:SENCZYSZYN
Suffix:
Gender:F
Credentials:CPO, MBA, MPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3487 S LINDEN RD STE U
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3020
Mailing Address - Country:US
Mailing Address - Phone:810-733-3375
Mailing Address - Fax:810-733-0117
Practice Address - Street 1:3487 S LINDEN RD STE U
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3020
Practice Address - Country:US
Practice Address - Phone:810-733-3375
Practice Address - Fax:810-733-0117
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO04906224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist