Provider Demographics
NPI:1508184532
Name:SCHIKOWITZ, SAMUEL (ND LAC)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:SCHIKOWITZ
Suffix:
Gender:M
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 BROADWAY # 20-9926
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3854
Mailing Address - Country:US
Mailing Address - Phone:845-594-9638
Mailing Address - Fax:888-338-3634
Practice Address - Street 1:1260 116TH AVE NE
Practice Address - Street 2:STE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3800
Practice Address - Country:US
Practice Address - Phone:888-856-5658
Practice Address - Fax:888-338-3634
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60460802171100000X
WANT60383001175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist