Provider Demographics
NPI:1447925284
Name:HOERR, SETH ANDREW (DC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ANDREW
Last Name:HOERR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 W GLEN AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4692
Mailing Address - Country:US
Mailing Address - Phone:309-692-6800
Mailing Address - Fax:309-692-4478
Practice Address - Street 1:1524 W GLEN AVE STE 8
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4692
Practice Address - Country:US
Practice Address - Phone:309-692-6800
Practice Address - Fax:309-692-4478
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL03813754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor