Provider Demographics
NPI:1417072935
Name:SINNREICH, MARTI (DC)
Entity Type:Individual
Prefix:DR
First Name:MARTI
Middle Name:
Last Name:SINNREICH
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 1:3601 W COMMERCIAL BLVD
Mailing Address - Street 2:#11
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3300
Mailing Address - Country:US
Mailing Address - Phone:954-739-3000
Mailing Address - Fax:954-739-3072
Practice Address - Street 1:3601 W COMMERCIAL BLVD
Practice Address - Street 2:#11
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3300
Practice Address - Country:US
Practice Address - Phone:954-739-3000
Practice Address - Fax:954-739-3072
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT84512Medicare UPIN
FL70719Medicare ID - Type Unspecified