Healthcare Provider Details

I. General information

NPI: 1245548510
Provider Name (Legal Business Name): SCOTT C. SEAMANS DPM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 HEACOCK LN
WYNCOTE PA
19095-1818
US

IV. Provider business mailing address

8121 HEACOCK LN
WYNCOTE PA
19095-1818
US

V. Phone/Fax

Practice location:
  • Phone: 267-210-3985
  • Fax:
Mailing address:
  • Phone: 267-210-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. SCOTT C. SEAMANS
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 267-210-3985