Pelock, Seth
Pelock, Seth is an sole proprietor health care provider with primary practice located at 2240 Prairie Ave Suite 5, Beloit WI 53511-2648. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Pelock, Seth can be contacted via phone (608) 290-2366.Contact Information
Primary practice address
2240 Prairie Ave Suite 5
Beloit WI 53511-2648
Phone: (608) 290-2366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5109-12 | Wisconsin |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 5109-12 | Wisconsin |
Profile Details
| NPI number | 1811318744 |
|---|---|
| LBN Legal business name | Pelock, Seth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2013 |
| Last updated | Oct 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811318744 | NPPES |
| Wisconsin | Other | 5109-12 | WISCONSIN |
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