Provider Demographics
NPI:1285176438
Name:ALBRECHT, SETH D (DC)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:D
Last Name:ALBRECHT
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 1:304 DIX ST
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MI
Mailing Address - Zip Code:49078-1515
Mailing Address - Country:US
Mailing Address - Phone:269-694-9956
Mailing Address - Fax:269-694-9400
Practice Address - Street 1:304 DIX ST
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1515
Practice Address - Country:US
Practice Address - Phone:269-694-9956
Practice Address - Fax:269-694-9400
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor