Provider Demographics
NPI:1821610155
Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF KEIZER INC.
Entity Type:Organization
Organization Name:ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF KEIZER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SEDEI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:503-990-7054
Mailing Address - Street 1:5167 RIVER RD N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5349
Mailing Address - Country:US
Mailing Address - Phone:503-990-7054
Mailing Address - Fax:503-479-0081
Practice Address - Street 1:5167 RIVER RD N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5349
Practice Address - Country:US
Practice Address - Phone:503-990-7054
Practice Address - Fax:503-479-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty