Provider Demographics
NPI:1598781270
Name:HENKEL, SHARON LYNNE (DC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNNE
Last Name:HENKEL
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 1:26377 MOUNTAIN GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-7508
Mailing Address - Country:US
Mailing Address - Phone:714-835-8298
Mailing Address - Fax:714-835-6101
Practice Address - Street 1:1619 E EDINGER AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5001
Practice Address - Country:US
Practice Address - Phone:714-835-8298
Practice Address - Fax:714-835-6101
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor