Provider Demographics
NPI:1609854553
Name:SIENKO, MATILDA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATILDA
Middle Name:ANN
Last Name:SIENKO
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 1:82 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2032
Mailing Address - Country:US
Mailing Address - Phone:828-253-8900
Mailing Address - Fax:828-505-1974
Practice Address - Street 1:82 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2032
Practice Address - Country:US
Practice Address - Phone:828-253-8900
Practice Address - Fax:828-505-1974
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08537OtherBCBS
NC08537OtherBCBS