Provider Demographics
NPI:1245250760
Name:JOHN J. SEEBER, MD, INC.
Entity type:Organization
Organization Name:JOHN J. SEEBER, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEEBER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:814-534-6993
Mailing Address - Street 1:1086 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4305
Mailing Address - Country:US
Mailing Address - Phone:814-534-1555
Mailing Address - Fax:814-255-2961
Practice Address - Street 1:315 LOCUST ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1651
Practice Address - Country:US
Practice Address - Phone:814-534-6993
Practice Address - Fax:814-534-6994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2011-01-18
Deactivation Date:2010-12-13
Deactivation Code:
Reactivation Date:2011-01-18
Provider Licenses
StateLicense IDTaxonomies
PAMD011023F208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA092363Medicare ID - Type Unspecified