Healthcare Provider Details

I. General information

NPI: 1619405503
Provider Name (Legal Business Name): JAMES SCOTT SEEL H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 N MITCHELL ST
CADILLAC MI
49601-1139
US

IV. Provider business mailing address

1802 GALLOWAY ST
EAU CLAIRE WI
54703-3467
US

V. Phone/Fax

Practice location:
  • Phone: 231-779-0585
  • Fax: 231-779-8565
Mailing address:
  • Phone: 715-831-8966
  • Fax: 715-831-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501009077
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: