Provider Demographics
NPI:1427389329
Name:ROEMEN, SETH DONALD (DC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:DONALD
Last Name:ROEMEN
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 1:26548 484TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-7233
Mailing Address - Country:US
Mailing Address - Phone:605-940-1602
Mailing Address - Fax:
Practice Address - Street 1:2520 E RIVER RIDGE PL
Practice Address - Street 2:SUITE 201
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-3904
Practice Address - Country:US
Practice Address - Phone:605-275-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor