Healthcare Provider Details

I. General information

NPI: 1538129952
Provider Name (Legal Business Name): SEILING PUBLIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NORTH ELM STREET
SEILING OK
73663
US

IV. Provider business mailing address

PO BOX 780
SEILING OK
73663-0780
US

V. Phone/Fax

Practice location:
  • Phone: 580-922-7381
  • Fax: 580-922-8019
Mailing address:
  • Phone: 580-922-7381
  • Fax: 580-922-8019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number155027
License Number StateOK

VIII. Authorized Official

Name: MR. ROBERT A BUSH
Title or Position: SUPERINTENDENT
Credential:
Phone: 580-922-7383