Provider Demographics
NPI:1255731832
Name:SEALANDER, JONATHAN (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:SEALANDER
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 1:1598 PENFIELD RD
Mailing Address - Street 2:ROC CITY WELLNESS
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2251
Mailing Address - Country:US
Mailing Address - Phone:585-420-8435
Mailing Address - Fax:
Practice Address - Street 1:1598 PENFIELD RD
Practice Address - Street 2:ROC CITY WELLNESS
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2251
Practice Address - Country:US
Practice Address - Phone:585-420-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor