Healthcare Provider Details

I. General information

NPI: 1861503872
Provider Name (Legal Business Name): CURTIS SEITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 N 6TH ST
TERRE HAUTE IN
47807-1037
US

IV. Provider business mailing address

221 S 6TH ST
TERRE HAUTE IN
47807-4214
US

V. Phone/Fax

Practice location:
  • Phone: 812-242-3170
  • Fax: 812-235-3330
Mailing address:
  • Phone: 812-242-3170
  • Fax: 812-235-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number01045035A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number36094607
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: