Provider Demographics
NPI:1336402288
Name:SENECHAL FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:SENECHAL FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENECHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-337-6823
Mailing Address - Street 1:30802 LYON CENTER DR E
Mailing Address - Street 2:
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-8582
Mailing Address - Country:US
Mailing Address - Phone:586-337-6823
Mailing Address - Fax:
Practice Address - Street 1:30802 LYON CENTER DR E
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-8582
Practice Address - Country:US
Practice Address - Phone:586-337-6823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009669111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty