Provider Demographics
NPI:1457958068
Name:UPGRADES IN HEALTH AND WELLNESS COASTAL HYPERBARIC HARRIET SEGELCKE
Entity type:Organization
Organization Name:UPGRADES IN HEALTH AND WELLNESS COASTAL HYPERBARIC HARRIET SEGELCKE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGELCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-703-0583
Mailing Address - Street 1:225 CABRILLO HWY S STE 110D
Mailing Address - Street 2:
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-1738
Mailing Address - Country:US
Mailing Address - Phone:408-384-1186
Mailing Address - Fax:
Practice Address - Street 1:225 CABRILLO HWY S STE 110D
Practice Address - Street 2:
Practice Address - City:HALF MOON BAY
Practice Address - State:CA
Practice Address - Zip Code:94019-1738
Practice Address - Country:US
Practice Address - Phone:408-384-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty