Provider Demographics
NPI:1982904918
Name:SEAMAN, TERRY N (CDR)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:N
Last Name:SEAMAN
Suffix:
Gender:M
Credentials:CDR
Other - Prefix:
Other - First Name:MEDSUPPLIES.US.COM
Other - Middle Name:MEDSUPPLIESUSCOM
Other - Last Name:MEDSUPPLIES.US.COM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CDR
Mailing Address - Street 1:8407 RICHMOND HWY STE B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2426
Mailing Address - Country:US
Mailing Address - Phone:703-795-2099
Mailing Address - Fax:
Practice Address - Street 1:8407 RICHMOND HWY STE B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2426
Practice Address - Country:US
Practice Address - Phone:703-795-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies