Provider Demographics
NPI:1306885298
Name:SEAY, STARIE LYNN (MD)
Entity type:Individual
Prefix:
First Name:STARIE
Middle Name:LYNN
Last Name:SEAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 UNION ST
Mailing Address - Street 2:MAINE COAST MEMORIAL HOSPITAL
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1586
Mailing Address - Country:US
Mailing Address - Phone:207-664-5304
Mailing Address - Fax:207-664-5305
Practice Address - Street 1:32 RESORT WAY
Practice Address - Street 2:ELLSWORTH FAMILY PRACTICE
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1717
Practice Address - Country:US
Practice Address - Phone:207-664-7770
Practice Address - Fax:207-664-7723
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEBX8691Medicare PIN
MEBX8692Medicare PIN
MEMM7766Medicare ID - Type Unspecified
MEG92308Medicare UPIN