Basic Information
| Provider Information | |||||||||
| NPI: | 1245250760 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN J. SEEBER, MD, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1086 FRANKLIN ST | ||||||||
| Address2: | |||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159054305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8145341555 | ||||||||
| FaxNumber: | 8142552961 | ||||||||
| Practice Location | |||||||||
| Address1: | 315 LOCUST ST | ||||||||
| Address2: | 7TH FLOOR | ||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159011651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8145346993 | ||||||||
| FaxNumber: | 8145346994 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 01/18/2011 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 12/13/2010 | ||||||||
| NPIReactivationDate: | 01/18/2011 | ||||||||
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| AuthorizedOfficialLastName: | SEEBER | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8145346993 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD011023F | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.