Basic Information
| Provider Information | |||||||||
| NPI: | 1891322715 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEATON | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | NEIL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 510 S GREEN RIVER RD | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477157308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124736630 | ||||||||
| FaxNumber: | 8124026734 | ||||||||
| Practice Location | |||||||||
| Address1: | 510 S GREEN RIVER RD | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477157308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124736630 | ||||||||
| FaxNumber: | 8124026734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2020 | ||||||||
| LastUpdateDate: | 03/23/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 17001259A | IN | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.