Provider Demographics
NPI:1548683048
Name:SEIDEL, CAROLINE (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:SEIDEL
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 1:4655 S MONACO ST
Mailing Address - Street 2:#303
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3536
Mailing Address - Country:US
Mailing Address - Phone:720-413-9265
Mailing Address - Fax:
Practice Address - Street 1:1030 JOHNSON RD
Practice Address - Street 2:SUITE 260
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6003
Practice Address - Country:US
Practice Address - Phone:303-278-2623
Practice Address - Fax:303-278-2612
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor