Provider Demographics
NPI:1487754529
Name:SEIM, JAMES PETER (DC, DACBN)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:SEIM
Suffix:
Gender:M
Credentials:DC, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20010 75TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CORCORAN
Mailing Address - State:MN
Mailing Address - Zip Code:55340-9459
Mailing Address - Country:US
Mailing Address - Phone:763-416-4878
Mailing Address - Fax:
Practice Address - Street 1:20010 75TH AVE N
Practice Address - Street 2:
Practice Address - City:CORCORAN
Practice Address - State:MN
Practice Address - Zip Code:55340-9459
Practice Address - Country:US
Practice Address - Phone:763-416-4878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1424111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
T 39780Medicare UPIN