MEDICARE: JOHN SEALS

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	374700000X	Technician

General Provider Information

NPI Number	:	1982705117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SEALS

Provider Business Mailing Address
First Line	:	USCG PATFOR SWA
Second Line	:	UNIT 3950
City	:	FPO
State	:	AE
Zip	:	09501-3950
Country	:	BH
Telephone Number	:	97339320652
Fax Number	:

Provider Business Practice Location Address
First Line	:	USCG PATFOR SWA
Second Line	:	UNIT 3950
City	:	FPO
State	:	AE
Zip	:	09501-3950
Country	:	BH
Telephone Number	:	97339320652
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/21/2022

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Directions to “ JOHN SEALS ” Practice Location

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