Healthcare Provider Details

I. General information

NPI: 1528213956
Provider Name (Legal Business Name): JAMES A SEALS C.PED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W MAIN ST
MONROVIA IN
46157-9582
US

IV. Provider business mailing address

2945 W CROSSCREEK DR
MONROVIA IN
46157-8100
US

V. Phone/Fax

Practice location:
  • Phone: 317-363-0149
  • Fax:
Mailing address:
  • Phone: 317-363-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224L00000X
TaxonomyPedorthist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: