Provider Demographics
NPI:1962451401
Name:SEAVER CHIROPRACTIC PA
Entity Type:Organization
Organization Name:SEAVER CHIROPRACTIC PA
Other - Org Name:HAMPSTEAD FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-270-9009
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-0066
Mailing Address - Country:US
Mailing Address - Phone:910-270-9009
Mailing Address - Fax:910-270-9045
Practice Address - Street 1:14548 US HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3519
Practice Address - Country:US
Practice Address - Phone:910-270-9009
Practice Address - Fax:910-270-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085GPOtherBCBS NC PROVIDER ID#
NCU88622Medicare UPIN
NC085GPOtherBCBS NC PROVIDER ID#