Provider Demographics
NPI:1609828102
Name:SEEBER, JOHN J JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:SEEBER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4305
Mailing Address - Country:US
Mailing Address - Phone:814-535-8885
Mailing Address - Fax:814-535-8720
Practice Address - Street 1:315 LOCUST ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1651
Practice Address - Country:US
Practice Address - Phone:814-534-6993
Practice Address - Fax:814-534-6994
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-01-18
Deactivation Date:2010-12-13
Deactivation Code:
Reactivation Date:2011-01-18
Provider Licenses
StateLicense IDTaxonomies
PAMD011023F208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA149571Medicare ID - Type Unspecified
C31954Medicare UPIN