MEDICARE: DR. ALLEN JAMES SEITER DC

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	AS007992	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P116489	OTHER		BCN MEDICAL NETWORK ONE

General Provider Information

NPI Number	:	1811988603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN JAMES SEITER DC

Provider Business Mailing Address
First Line	:	5254 DIXIE HWY
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48329-1716
Country	:	US
Telephone Number	:	248-623-1188
Fax Number	:

Provider Business Practice Location Address
First Line	:	5254 DIXIE HWY
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48329-1716
Country	:	US
Telephone Number	:	248-623-1188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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