Provider Demographics
NPI:1184977464
Name:SEILER CHIROPRACTIC CLINIC PA
Entity type:Organization
Organization Name:SEILER CHIROPRACTIC CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-787-3991
Mailing Address - Street 1:30651 US 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4410
Mailing Address - Country:US
Mailing Address - Phone:727-787-3991
Mailing Address - Fax:727-789-3964
Practice Address - Street 1:30651 US 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4410
Practice Address - Country:US
Practice Address - Phone:727-787-3991
Practice Address - Fax:727-789-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty