Provider Demographics
NPI:1811988603
Name:SEITER, ALLEN JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:JAMES
Last Name:SEITER
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 1:5254 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-1716
Mailing Address - Country:US
Mailing Address - Phone:248-623-1188
Mailing Address - Fax:
Practice Address - Street 1:5254 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-1716
Practice Address - Country:US
Practice Address - Phone:248-623-1188
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS007992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4734014Medicaid
P116489OtherBCN MEDICAL NETWORK ONE
ON66760Medicare ID - Type Unspecified
U78134Medicare UPIN