Healthcare Provider Details

I. General information

NPI: 1134239403
Provider Name (Legal Business Name): SCOTT CRAIG SEAMANS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 HEACOCK LANE
WYNCOTE PA
19095-1818
US

IV. Provider business mailing address

8121 HEACOCK LANE
WYNCOTE PA
19095-1818
US

V. Phone/Fax

Practice location:
  • Phone: 215-884-1692
  • Fax:
Mailing address:
  • Phone: 215-884-1692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC003060L
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: