Provider Demographics
NPI:1487657607
Name:SEELE, STEVEN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:SEELE
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 1:2705 S BERKLEY RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-8007
Mailing Address - Country:US
Mailing Address - Phone:765-455-2361
Mailing Address - Fax:765-455-2370
Practice Address - Street 1:2705 S BERKLEY RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-8007
Practice Address - Country:US
Practice Address - Phone:765-455-2361
Practice Address - Fax:765-455-2370
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001949A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN350055893OtherMEDICARE RAILROAD
IN200404220AMedicaid
IN27751OtherINDIANA HEALTH NETWORK
IN35212258801OtherSAGAMORE HEALTH NETWORK
IN000000242691OtherANTHEM BCBS
INU82703Medicare UPIN
IN27751OtherINDIANA HEALTH NETWORK