Provider Demographics
NPI:1285622134
Name:SYKES, SUSAN SCHNEIDERMAN (DC)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:SCHNEIDERMAN
Last Name:SYKES
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 NEUDORF RD
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9229
Mailing Address - Country:US
Mailing Address - Phone:336-766-0888
Mailing Address - Fax:336-766-0608
Practice Address - Street 1:2505 NEUDORF RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9229
Practice Address - Country:US
Practice Address - Phone:336-766-0888
Practice Address - Fax:336-766-0608
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908736Medicaid
NC08736OtherBLUE CROSS/BLUE SHIELD
NCT81626Medicare UPIN
NC244604Medicare ID - Type Unspecified