Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0096-01063 | NC |
NPI | 1134156391 |
---|---|
Provider Name | Beth A Seiler |
First Address | Charlotte, NC 28263-3376 |
Second Address | Charlotte, NC 28204-4375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 26/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01284 | BCBS (01) | NC |
8975254 | (05) | NC |
G40037 | (02) | |
N01063 | (05) | SC |