Provider Demographics
NPI:1437496890
Name:CECI, EMILY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:CECI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:SCHOENBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4422 WHITE BEAR AVE N
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-3475
Mailing Address - Country:US
Mailing Address - Phone:920-284-8835
Mailing Address - Fax:920-284-8835
Practice Address - Street 1:4422 WHITE BEAR AVE N
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3475
Practice Address - Country:US
Practice Address - Phone:920-284-8835
Practice Address - Fax:920-284-8835
Is Sole Proprietor?:No
Enumeration Date:2013-01-05
Last Update Date:2015-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor