Healthcare Provider Details
I. General information
NPI: 1235139148
Provider Name (Legal Business Name): SEELEY MEDICAL OXYGEN COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 E 222ND ST
EUCLID OH
44123-3312
US
IV. Provider business mailing address
104 PARKER DR
ANDOVER OH
44003-9481
US
V. Phone/Fax
- Phone: 216-261-9100
- Fax: 216-261-9103
- Phone: 440-293-6600
- Fax: 440-293-7394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
FEE
Title or Position: FINANCIAL OPERATIONS
Credential:
Phone: 440-293-6600