Provider Demographics
NPI:1598893018
Name:DR GEORGE S SEHL PC
Entity type:Organization
Organization Name:DR GEORGE S SEHL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:401-261-4004
Mailing Address - Street 1:40 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2129
Mailing Address - Country:US
Mailing Address - Phone:401-261-4004
Mailing Address - Fax:
Practice Address - Street 1:40 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2129
Practice Address - Country:US
Practice Address - Phone:401-261-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI0335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9003028Medicaid
RI119003028Medicare ID - Type Unspecified
RIC90522Medicare UPIN