Provider Demographics
NPI:1467549410
Name:NORTHGATE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:NORTHGATE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKKA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:206-367-2224
Mailing Address - Street 1:11065 5TH AVE NE
Mailing Address - Street 2:SUITE E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6100
Mailing Address - Country:US
Mailing Address - Phone:206-367-2224
Mailing Address - Fax:206-260-2701
Practice Address - Street 1:11065 5TH AVE NE
Practice Address - Street 2:SUITE E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6100
Practice Address - Country:US
Practice Address - Phone:206-367-2224
Practice Address - Fax:206-260-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty