| Sydney D Seyfert | |
|
821 S Orange St Missoula MT 59801-3833 | |
| (406) 540-3556 | |
| (406) 929-1049 |
| Full Name | Sydney D Seyfert |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 S Orange St, Missoula, Montana |
| Authorized Official Name and Position | Sydney Diann Seyfert (OWNER) |
| Authorized Official Contact | 4065403556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sydney D Seyfert 821 S Orange St Missoula MT 59801-3833 Ph: (406) 540-3556 | Sydney D Seyfert 821 S Orange St Missoula MT 59801-3833 Ph: (406) 540-3556 |
| NPI Number | 1285092510 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 9032416946 |
|---|---|
| Medicare Enrollment ID | O20160321001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285092510 | NPI | - | NPPES |
| 100915 | Other | MT | STATE ARNP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sydney D Seyfert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821394974 PECOS PAC ID: 0143498147 Enrollment ID: I20120412000718 |
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