MEDICARE: SETH J. STINEHOUR DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	10383	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	001720029	OTHER	WV	BC BS

General Provider Information

NPI Number	:	1053303834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH J. STINEHOUR DPM

Provider Business Mailing Address
First Line	:	P O BOX 242
Second Line	:
City	:	TEAYS
State	:	WV
Zip	:	25569-0242
Country	:	US
Telephone Number	:	304-201-1240
Fax Number	:

Provider Business Practice Location Address
First Line	:	3954 TEAYS VALLEY RD
Second Line	:	SUITE 103
City	:	HURRICANE
State	:	WV
Zip	:	25526-1526
Country	:	US
Telephone Number	:	304-201-1240
Fax Number	:	304-201-1241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	02/19/2010

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Directions to “ SETH J. STINEHOUR DPM” Practice Location

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