Provider Demographics
NPI:1497117857
Name:SYLVIA SKEFICH DOCTOR OF CHIROPRACTIC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SYLVIA SKEFICH DOCTOR OF CHIROPRACTIC A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SKEFICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-475-1995
Mailing Address - Street 1:920 41ST AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-4457
Mailing Address - Country:US
Mailing Address - Phone:831-475-1995
Mailing Address - Fax:
Practice Address - Street 1:920 41ST AVE
Practice Address - Street 2:SUITE G
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-4457
Practice Address - Country:US
Practice Address - Phone:831-475-1995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty