| Seelyville Family Practice | |
|
8810 Wabash Ave Terre Haute IN 47803-3908 | |
| (812) 239-4090 | |
| Not Available |
| Full Name | Seelyville Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 8810 Wabash Ave, Terre Haute, Indiana |
| Authorized Official Name and Position | Sherri Jernberg (OWNER/OPERATOR) |
| Authorized Official Contact | 8122394090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seelyville Family Practice 8810 Wabash Ave Terre Haute IN 47803-3908 Ph: (812) 239-4090 | Seelyville Family Practice 8810 Wabash Ave Terre Haute IN 47803-3908 Ph: (812) 239-4090 |
| NPI Number | 1316205115 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316205115 | NPI | - | NPPES |
| 1588821250 | Other | IN | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 71002624A (Indiana) | Primary |
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