Provider Demographics
NPI:1487067187
Name:SEIM CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SEIM CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-248-9745
Mailing Address - Street 1:28 SERAPIS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63303-1764
Mailing Address - Country:US
Mailing Address - Phone:636-248-9745
Mailing Address - Fax:
Practice Address - Street 1:4200 N CLOVERLEAF DR
Practice Address - Street 2:SUITE M
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6436
Practice Address - Country:US
Practice Address - Phone:636-248-9745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014013830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty