Provider Demographics
NPI:1831493881
Name:DR SENNE HEALTH CONSULTANT LLC
Entity Type:Organization
Organization Name:DR SENNE HEALTH CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SENNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-225-2207
Mailing Address - Street 1:13550 REFLECTION LAKES PARKWAY
Mailing Address - Street 2:SUITE 5-504
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-225-2207
Mailing Address - Fax:239-225-2207
Practice Address - Street 1:13550 REFLECTION LAKES PARKWAY
Practice Address - Street 2:SUITE 5-504
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:239-225-2207
Practice Address - Fax:239-225-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty