Provider Demographics
NPI:1396744538
Name:SENG, CATHERINE MARY (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARY
Last Name:SENG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BRIDGE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-5620
Mailing Address - Country:US
Mailing Address - Phone:563-323-2440
Mailing Address - Fax:563-324-9309
Practice Address - Street 1:718 BRIDGE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-5620
Practice Address - Country:US
Practice Address - Phone:563-323-2440
Practice Address - Fax:563-324-9309
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0227462Medicaid
IA0227462Medicaid