Healthcare Provider Details

I. General information

NPI: 1477116796
Provider Name (Legal Business Name): DENYSE SEAH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIVER VALLEY BLVD
NEW RICHMOND OH
45157-8566
US

IV. Provider business mailing address

424 WARDS CORNER RD STE 20
LOVELAND OH
45140-6908
US

V. Phone/Fax

Practice location:
  • Phone: 513-553-3114
  • Fax: 513-553-1032
Mailing address:
  • Phone: 513-576-7700
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34015687
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: