DR. SETH PELOCK (NPI# 1811318744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811318744 |
| Entity Type | Individual |
| Full Name | DR. SETH PELOCK |
| Credential | D.C. |
| Practice Address |
2240 Prairie Ave Suite 5 Beloit WI 53511-2648 |
| Practice Telephone | 6082902366 |
| Mailing Telephone | 6082902366 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2015-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5109-12 | WI | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
5109-12 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN | 5109-12 | 01 |
| Street Address |
2240 PRAIRIE AVE SUITE 5 |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275787889 | Latoya Marie White | Licensed Practical Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2008-11-10 |
| 1306447909 | Brenda May Diaz | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-11-02 |
| 1891393658 | Kwamesha Mone' Milsap | Licensed Practical Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-10-14 |
| 1134747009 | Breanna Elizabeth Adams | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-07-08 |
| 1376160937 | Dori Martinez | Registered Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-06-30 |
| 1316562309 | Steven Thomas Koester | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-06-15 |
| 1750949939 | Tracie Dill | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-06-03 |
| 1992360531 | Angela Pennell | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-05-09 |
| 1124682679 | Kristina Renee Stanis | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-04-30 |
| 1770052326 | Pamela C Long | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023587672 | Megan Nicole White | Chiropractor | 3535 Clinic Rd, Beloit, WI 53511-1997 | 2018-11-13 |
| 1184067894 | Beloit Chiropractic, LLC | Chiropractor | 1610 Madison Rd, Beloit, WI 53511-3215 | 2013-04-11 |
| 1811032956 | Lanoway Chiropractic LLC | Chiropractor | 1650 E Huebbe Pkwy Ste A, Beloit, WI 53511-6543 | 2007-02-20 |
| 1205987617 | Frank C. Kollins, D.c., S.c. | Chiropractor | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-01-13 |
| 1518026657 | Gonstead Chiropractic Clinic Sc | Chiropractor | 3535 Clinic Road, Beloit, WI 53511 | 2006-12-06 |
| 1134222383 | Karen M Thorpe | Chiropractor | 2950 Prairie Ave, Ste A, Beloit, WI 53511-1899 | 2006-09-06 |
| 1801803606 | Adrian M Meyer | Chiropractor | 119 N Mill St, Beloit, KS 67420-2343 | 2006-08-02 |
| 1902822349 | Chiropractic Care Center of Beloit, Sc | Chiropractor | 654 Bluff St, Beloit, WI 53511-6156 | 2006-07-15 |
| 1497730840 | Gregory F Lanoway | Chiropractor | 1406 Willowbrook Rd, Suite 102, Beloit, WI 53511-6925 | 2005-12-08 |
| 1649641101 | Pelock Chiropractic LLC | Chiropractor | 2240 Prairie Ave, Suite 5, Beloit, WI 53511-2648 | 2015-10-09 |
| Find all providers in BELOIT | ||||
Please comment or provide details below to improve the information on DR. SETH PELOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.