Healthcare Provider Details

I. General information

NPI: 1467722835
Provider Name (Legal Business Name): CHRISTOPHER SEAVER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 10/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 ESTATE DIAMOND RUBY
CHRISTIANSTED VI
00820
US

IV. Provider business mailing address

PO BOX 302304
ST THOMAS VI
00803-2304
US

V. Phone/Fax

Practice location:
  • Phone: 340-778-6311
  • Fax:
Mailing address:
  • Phone: 340-228-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1498
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number1498
License Number StateVI

VIII. Authorized Official

Name: CHRISTOPHER SEAVER
Title or Position: OWNER
Credential: MD
Phone: 340-228-2068