Healthcare Provider Details

I. General information

NPI: 1043213408
Provider Name (Legal Business Name): JOSEPH F SEIPEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 NORTHGATE CT STE 209
NEW ALBANY IN
47150-6421
US

IV. Provider business mailing address

3605 NORTHGATE CT STE 209
NEW ALBANY IN
47150-6421
US

V. Phone/Fax

Practice location:
  • Phone: 812-945-1429
  • Fax: 812-945-7188
Mailing address:
  • Phone: 812-945-1429
  • Fax: 812-945-7188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number01033819A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number01033819A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01033819A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: