Provider Demographics
NPI:1265593479
Name:CHALNICK, SETH (DC)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:CHALNICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 E. EL LAGO BLVD
Mailing Address - Street 2:108
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-922-1999
Mailing Address - Fax:480-922-3113
Practice Address - Street 1:7950 E. EL LAGO BLVD
Practice Address - Street 2:108
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-922-1999
Practice Address - Fax:480-922-3113
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor