Provider Demographics
NPI:1487790127
Name:SENICK, MERIDEE LYNN (DOCTOR OF CHIROPRATI)
Entity type:Individual
Prefix:MS
First Name:MERIDEE
Middle Name:LYNN
Last Name:SENICK
Suffix:
Gender:F
Credentials:DOCTOR OF CHIROPRATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15224 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7332
Mailing Address - Country:US
Mailing Address - Phone:425-357-1105
Mailing Address - Fax:425-379-9771
Practice Address - Street 1:15224 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-7332
Practice Address - Country:US
Practice Address - Phone:425-357-1105
Practice Address - Fax:425-379-9771
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0196142OtherLABOR & INDUSTRIES
WA68855484Medicare ID - Type Unspecified