Individual
DR. SETH PELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2240 PRAIRIE AVE, SUITE 5, BELOIT, WI 53511-2648
(608) 290-2366
Mailing address
2240 PRAIRIE AVE, SUITE 5, BELOIT, WI 53511-2648
(608) 290-2366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5109-12
WI
111NR0400X
Rehabilitation Chiropractor
5109-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5109-12
WISCONSIN
WI
Enumeration date
12/19/2013
Last updated
10/09/2015
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