Provider Demographics
NPI:1053567321
Name:SENICK ENTERPRISES, PLLC
Entity type:Organization
Organization Name:SENICK ENTERPRISES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MERIDEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SENICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-466-7625
Mailing Address - Street 1:15603 MAIN STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-9003
Mailing Address - Country:US
Mailing Address - Phone:425-357-1105
Mailing Address - Fax:425-379-9771
Practice Address - Street 1:15603 MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-9003
Practice Address - Country:US
Practice Address - Phone:425-357-1105
Practice Address - Fax:425-379-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty