Provider Demographics
NPI:1154965945
Name:SAPPHIRE FAMILY PRACTICE
Entity type:Organization
Organization Name:SAPPHIRE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:W K
Authorized Official - Last Name:SEEKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:540-434-5709
Mailing Address - Street 1:1956 EVELYN BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3423
Mailing Address - Country:US
Mailing Address - Phone:540-217-4455
Mailing Address - Fax:540-217-5169
Practice Address - Street 1:1956 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3423
Practice Address - Country:US
Practice Address - Phone:515-822-1178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1073051587Medicaid
VA1841712957Medicaid
VA1568432706Medicaid