Healthcare Provider Details

I. General information

NPI: 1467408906
Provider Name (Legal Business Name): SETH S HAPLEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MCFARLAN RD
KENNETT SQUARE PA
19348-2453
US

IV. Provider business mailing address

402 MCFARLAN RD
KENNETT SQUARE PA
19348-2453
US

V. Phone/Fax

Practice location:
  • Phone: 610-444-5678
  • Fax:
Mailing address:
  • Phone: 610-444-5678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD057156L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2110236000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerIBC KEYSTONE HP EAST
# 2
Identifier000639714
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE SHIELD
# 3
Identifier2958547
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA
# 4
Identifier001418573
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: