National Provider Identifier
Jack Matthew Seelbach, PA-C
Jack Matthew Seelbach, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lewiston, NY and a listed phone number of (716) 298-8440.
Profile Overview
- NPI
- 1477437846
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 31, 2025
- Last Updated
- July 31, 2025
Practice Location
- 5290 Military RD Ste 8
- Lewiston, NY 14092-1953
Phone: (716) 298-8440
Mailing Address
- 190 Creekside Dr
- Tonawanda, NY 14150-1421
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1477437846
- Entity Type
- Individual
- Last Name
- Seelbach
- First Name
- Jack
- Middle Name
- Matthew
- Credential
- PA-C
- Mailing Street Address
- 190 Creekside Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-1421
- Mailing Country
- US
- Mailing Phone
- (716) 345-0910
- Practice Street Address
- 5290 Military RD Ste 8
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1953
- Practice Country
- US
- Practice Phone
- (716) 298-8440
- Enumeration Date
- July 31, 2025
- Last Updated
- July 31, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)