Provider Demographics
NPI:1669503835
Name:SEEMATTER, JESSICA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:SEEMATTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5017 MOFFETT RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618-2207
Mailing Address - Country:US
Mailing Address - Phone:251-380-0308
Mailing Address - Fax:251-380-0309
Practice Address - Street 1:5017 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618-2207
Practice Address - Country:US
Practice Address - Phone:251-380-0308
Practice Address - Fax:251-380-0309
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51077800OtherBLUE CROSS BLUE SHIELD