Provider Demographics
NPI:1215791231
Name:SEEMAN, SUE ANN
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:ANN
Last Name:SEEMAN
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 1:2170 S BERKEY SOUTHERN RD LOT 33
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9470
Mailing Address - Country:US
Mailing Address - Phone:419-388-7438
Mailing Address - Fax:
Practice Address - Street 1:2170 S BERKEY SOUTHERN RD LOT 33
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-9470
Practice Address - Country:US
Practice Address - Phone:419-388-7438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty