Provider Demographics
NPI:1932912318
Name:SEIDEL, NIKLAS (DC)
Entity type:Individual
Prefix:DR
First Name:NIKLAS
Middle Name:
Last Name:SEIDEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 YALE AVE N APT 501
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5952
Mailing Address - Country:US
Mailing Address - Phone:905-717-7997
Mailing Address - Fax:
Practice Address - Street 1:17620 NE 69TH CT # 140
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7129
Practice Address - Country:US
Practice Address - Phone:206-631-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH.61612414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor