Provider Demographics
NPI:1972609089
Name:SEEKINS, SUZANNE AMANDA (DC)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:AMANDA
Last Name:SEEKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:AMANDA
Other - Last Name:STOHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2960 IMMOKALEE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1439
Mailing Address - Country:US
Mailing Address - Phone:239-513-9800
Mailing Address - Fax:
Practice Address - Street 1:2960 IMMOKALEE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1439
Practice Address - Country:US
Practice Address - Phone:239-513-9800
Practice Address - Fax:239-513-0043
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0166OtherMEDICARE GROUP ID
FL1762118OtherAETNA HMO PIN
FL55621OtherBCBS
FL9931126OtherAETNA PIN
FLN199359OtherSTAYWELL
FLN199359OtherHEALTHYKIDS
FL6312490OtherCIGNA ID
FLN199359OtherWELLCARE
FLN199359OtherSTAYWELL