Provider Demographics
NPI:1033181870
Name:M DEBORAH SESKER, DCPC
Entity Type:Organization
Organization Name:M DEBORAH SESKER, DCPC
Other - Org Name:BALANCE FIRST CHIROPRACTIC CENTER PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DEBORAH
Authorized Official - Last Name:SESKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-267-8851
Mailing Address - Street 1:3737 WOODLAND AVE
Mailing Address - Street 2:STE 425
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1909
Mailing Address - Country:US
Mailing Address - Phone:515-267-8851
Mailing Address - Fax:
Practice Address - Street 1:3737 WOODLAND AVE
Practice Address - Street 2:STE 425
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1909
Practice Address - Country:US
Practice Address - Phone:515-267-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I11952Medicare ID - Type UnspecifiedGROUP