Provider Demographics
NPI:1760628705
Name:SEILER, JOSHUA STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:STEVEN
Last Name:SEILER
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 1:5000 E VIRGINIA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2672
Mailing Address - Country:US
Mailing Address - Phone:812-437-7171
Mailing Address - Fax:812-437-7173
Practice Address - Street 1:5000 E VIRGINIA ST STE 4
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2672
Practice Address - Country:US
Practice Address - Phone:812-437-7171
Practice Address - Fax:812-437-7173
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002427A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200927550Medicaid
IN200927550Medicaid