MEDICARE: SEEBACHER FAMILY CHIROPRACTIC CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-007295-L	PA

General Provider Information

NPI Number	:	1790922649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEBACHER FAMILY CHIROPRACTIC CENTER LLC

Provider Business Mailing Address
First Line	:	1385 OLD FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3112
Country	:	US
Telephone Number	:	412-449-1000
Fax Number	:	412-449-0199

Provider Business Practice Location Address
First Line	:	1385 OLD FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3112
Country	:	US
Telephone Number	:	412-449-1000
Fax Number	:	412-449-0199

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN DONALD SEEBACHER
Credential	:	D.C.
Telephone Number	:	412-449-1000

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/14/2009

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