Provider Demographics
NPI:1861066284
Name:SEITZ SPECIFIC CHIROPRACTIC
Entity type:Organization
Organization Name:SEITZ SPECIFIC CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-478-4344
Mailing Address - Street 1:171 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2628
Mailing Address - Country:US
Mailing Address - Phone:508-478-4344
Mailing Address - Fax:
Practice Address - Street 1:171 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2628
Practice Address - Country:US
Practice Address - Phone:508-478-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center