Provider Demographics
NPI:1306569652
Name:BICKMEYER, SYDNEY CONSTANCE (DC)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:CONSTANCE
Last Name:BICKMEYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 E MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4916
Mailing Address - Country:US
Mailing Address - Phone:314-262-5234
Mailing Address - Fax:
Practice Address - Street 1:2100 S GILBERT RD STE 22
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1589
Practice Address - Country:US
Practice Address - Phone:480-712-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9214111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor