Doctor Name: | TIMOTHY A SEIFERT |
NPI Number: | 1154327443 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAS-C |
License Number: | 15-00690 |
Business Practice Address: | 128 S 5th St Osborne, KS - 674732304 |
Business Phone Number: | 7853462033 |
Business Fax Number: | 7853462919 |
Mailing Address: | 128 S 5th St, P.o. Box 307 OSBORNE |
State: | KS |
Postal Code: | 674732304 |
Phone Number: | 7853462033 |
Fax Number: | 7853462919 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/15/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 15-00690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |