Healthcare Provider Details

I. General information

NPI: 1275535718
Provider Name (Legal Business Name): WILLIAM ASA SEEDS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 W 27TH ST
ASHTABULA OH
44004-4975
US

IV. Provider business mailing address

416 W 27TH ST
ASHTABULA OH
44004-4975
US

V. Phone/Fax

Practice location:
  • Phone: 440-997-5427
  • Fax: 440-997-5486
Mailing address:
  • Phone: 440-997-5427
  • Fax: 440-997-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35070566
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: