MEDICARE: JAMIE SEIDNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1518733088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SEIDNER

Provider Business Mailing Address
First Line	:	3040 BELMONT AVE STE C
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1836
Country	:	US
Telephone Number	:	234-228-8315
Fax Number	:	330-759-0030

Provider Business Practice Location Address
First Line	:	3040 BELMONT AVE STE C
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1836
Country	:	US
Telephone Number	:	234-228-8315
Fax Number	:	330-759-0030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	08/29/2025

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Directions to “ JAMIE SEIDNER ” Practice Location

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