Healthcare Provider Details

I. General information

NPI: 1407734296
Provider Name (Legal Business Name): SETH SCHRAG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 7TH ST
SPRINGFIELD SD
57062-3700
US

IV. Provider business mailing address

11011 Q ST STE 101C
OMAHA NE
68137-3700
US

V. Phone/Fax

Practice location:
  • Phone: 605-464-9099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: