Provider Demographics
NPI:1790900611
Name:SEEGERS CHIROPRACTIC INC PS
Entity Type:Organization
Organization Name:SEEGERS CHIROPRACTIC INC PS
Other - Org Name:SEEGERS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:CLARE
Authorized Official - Last Name:LYNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-647-1970
Mailing Address - Street 1:1215 MILL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7147
Mailing Address - Country:US
Mailing Address - Phone:360-647-1970
Mailing Address - Fax:360-647-0668
Practice Address - Street 1:1215 MILL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7147
Practice Address - Country:US
Practice Address - Phone:360-647-1970
Practice Address - Fax:360-647-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA02502CH0000334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty