Provider Demographics
NPI:1215142013
Name:SEGER, HEIDI MICHELLE
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:MICHELLE
Last Name:SEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1796 W WATERFORD CT
Mailing Address - Street 2:APT 1424
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-8391
Mailing Address - Country:US
Mailing Address - Phone:330-319-5025
Mailing Address - Fax:
Practice Address - Street 1:1796 W WATERFORD CT
Practice Address - Street 2:APT 1424
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-8391
Practice Address - Country:US
Practice Address - Phone:330-319-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2582049Medicaid