Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 22894 | NE |
Y | 208600000X | Surgeon | 22894 | NE |
NPI | 1023011897 |
---|---|
Provider Name | Dr. Christopher C Seip |
First Address | North Platte, NE 69101 |
Second Address | Grand Island, NE 68803-4320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04285 | BCBS PROVIDER ID (01) | NE |
1700895 | UHC PROVIDER ID (01) | NE |
470561913 | TAX ID (01) | NE |
47056191312 | (05) | NE |
68510A007 | TRIWEST PROVIDER ID (01) | NE |
I14234 | (02) | NE |
P00157299 | MEDICARE RR ID (01) | NE |