Provider Demographics
NPI:1316626468
Name:SEWARD, DREW DAVID (EMT)
Entity type:Individual
Prefix:MR
First Name:DREW
Middle Name:DAVID
Last Name:SEWARD
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 E HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-3142
Mailing Address - Country:US
Mailing Address - Phone:517-214-4775
Mailing Address - Fax:
Practice Address - Street 1:4400 HOLT RD
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1687
Practice Address - Country:US
Practice Address - Phone:517-231-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider