Healthcare Provider Details

I. General information

NPI: 1588483648
Provider Name (Legal Business Name): WILLIAM SEESE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4685 WORTHINGTON RD
WESTERVILLE OH
43082-9436
US

IV. Provider business mailing address

4685 WORTHINGTON RD
WESTERVILLE OH
43082-9436
US

V. Phone/Fax

Practice location:
  • Phone: 740-972-2361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: