Provider Demographics
NPI:1073753141
Name:JEFFERS SEIFERT, ERIN DONNELLE (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DONNELLE
Last Name:JEFFERS SEIFERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12301 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3744
Mailing Address - Country:US
Mailing Address - Phone:440-652-8748
Mailing Address - Fax:
Practice Address - Street 1:12301 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3744
Practice Address - Country:US
Practice Address - Phone:440-652-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015971207Q00000X
OH34010656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine