Provider Demographics
NPI:1306813449
Name:SEGER, STEVEN E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:SEGER
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 1:2164 SEA FERN WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32328-2104
Mailing Address - Country:US
Mailing Address - Phone:850-323-0129
Mailing Address - Fax:
Practice Address - Street 1:171 US HIGHWAY 98 UNIT H
Practice Address - Street 2:
Practice Address - City:EASTPOINT
Practice Address - State:FL
Practice Address - Zip Code:32328-3313
Practice Address - Country:US
Practice Address - Phone:850-323-0129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002086L111N00000X
FLCH9736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084259Medicare ID - Type Unspecified
PA151462Medicare UPIN