Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 5101009758 | MI |
Y | 207Q00000X | Family Doctor | DO2574 | NV |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS 12676 | FL |
NPI | 1790777811 |
---|---|
Provider Name | Mr. Frank Joseph Seck |
First Address | Las Vegas, NV 89193-8978 |
Second Address | Mesquite, NV 89027-8862 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 11/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010055913 | RAILROAD MEDICARE (01) | MI |
080B610190 | BLUE CROSS (01) | MI |
1790777811 | (05) | NV |
1998574 | (05) | MI |
5571250 | AETNA (01) | MI |
DO2574 | STATE LICENSE (01) | NV |