Provider Demographics
NPI:1700913662
Name:SIKKA, RONNIE (DC,)
Entity type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:
Last Name:SIKKA
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 1:711 112TH ST SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5283
Mailing Address - Country:US
Mailing Address - Phone:206-992-2561
Mailing Address - Fax:
Practice Address - Street 1:711 112TH ST SE
Practice Address - Street 2:SUITE C
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-5283
Practice Address - Country:US
Practice Address - Phone:206-992-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor