Provider Demographics
NPI:1053630624
Name:SEIDL, WILLIAM J (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:SEIDL
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 1:7220 FAIR OAKS BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6400
Mailing Address - Country:US
Mailing Address - Phone:916-489-7246
Mailing Address - Fax:
Practice Address - Street 1:7220 FAIR OAKS BLVD
Practice Address - Street 2:STE B
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6400
Practice Address - Country:US
Practice Address - Phone:916-489-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5379111N00000X
CA34916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor