MEDICARE: SENECHAL FAMILY CHIROPRACTIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NP0017X	Pediatric Chiropractor	2301009669	MI

General Provider Information

NPI Number	:	1336402288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENECHAL FAMILY CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	30802 LYON CENTER DR E
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-8582
Country	:	US
Telephone Number	:	586-337-6823
Fax Number	:

Provider Business Practice Location Address
First Line	:	30802 LYON CENTER DR E
Second Line	:
City	:	NEW HUDSON
State	:	MI
Zip	:	48165-8582
Country	:	US
Telephone Number	:	586-337-6823
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	ALISHA SENECHAL
Credential	:
Telephone Number	:	586-337-6823

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

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